A comparative analysis of the outcomes of carotid stenting and carotid endarterectomy in the management of carotid stenosis

الملخص EN

Carotid Stenosis is an important cause of stroke (20%) which is associated with high morbidity and mortality rates.

The management is mainly by surgery or carotid stenting.

This study reviews 3 years of experience and the outcomes in the treatment of carotid stenosis by the two methods.

The study aimed to evaluate and compare the outcomes of both procedures during a 3yr period at a vascular Surgery department of the Cisanello Hospital.

302 pts were retrospectively ana-lyzed; 151 pts assigned for each procedure.

The average intervention time was significantly higher for the CEA group O.R: 0.556; 95% C.I; 0.349- 0.886, P: 0.014 but technical successes were achieved in 100% of CEA pts, whereas were achieved in 91.39% of the CAS group.

The periproce-dural stroke was nonsignificant between the two procedures.

The Periprocedural TIA were show significant difference with more incidences in CAS pts [O.R: 7.292, 95% C.I; 1.150- 45.856, P: 0.032] but almost all pts improved.

The cranial nerve injuries were a specific complication of CEA [11.9%].

The recurrent stenosis was seen only in CAS pts [2.9%] with O.R: 0.493, 95% C.I; 0.104- 2.345, P: 0.410.

Both procedures are effective and comparable in outcomes in the management of carotid Stenosis.