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

Other Title(s)

مقارنة تحليلية لنتائج استئصال باطنة الشريان السباتي و تركيب الدعامات في علاج ضيق السباتي الشرياني

Joint Authors

Saad, Hasan I. Fadil
Num, Mustafa
Shanab, Khalid
al-Usta, Abd al-Majid

Source

Al-Mukhtar Journal of Sciences

Issue

Vol. 34, Issue 4 (31 Dec. 2019), pp.306-314, 9 p.

Publisher

Omar al-Mukhtar University

Publication Date

2019-12-31

Country of Publication

Libya

No. of Pages

9

Main Subjects

Pharmacy, Health & Medical Sciences

Abstract 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.

American Psychological Association (APA)

Saad, Hasan I. Fadil& Num, Mustafa& Shanab, Khalid& al-Usta, Abd al-Majid. 2019. A comparative analysis of the outcomes of carotid stenting and carotid endarterectomy in the management of carotid stenosis. Al-Mukhtar Journal of Sciences،Vol. 34, no. 4, pp.306-314.
https://search.emarefa.net/detail/BIM-1329865

Modern Language Association (MLA)

Num, Mustafa…[et al.]. A comparative analysis of the outcomes of carotid stenting and carotid endarterectomy in the management of carotid stenosis. Al-Mukhtar Journal of Sciences Vol. 34, no. 4 (2019), pp.306-314.
https://search.emarefa.net/detail/BIM-1329865

American Medical Association (AMA)

Saad, Hasan I. Fadil& Num, Mustafa& Shanab, Khalid& al-Usta, Abd al-Majid. A comparative analysis of the outcomes of carotid stenting and carotid endarterectomy in the management of carotid stenosis. Al-Mukhtar Journal of Sciences. 2019. Vol. 34, no. 4, pp.306-314.
https://search.emarefa.net/detail/BIM-1329865

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 311-313

Record ID

BIM-1329865