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. 2013 Nov;29(6):1315-8.
doi: 10.12669/pjms.296.3971.

Effects of carotid endarterectomy and carotid artery stenting on high-risk carotid stenosis patients

Peifu Wang  1 , Chunyang Liang  2 , Jichen Du  3 , Jilai Li  4
Affiliations

Effects of carotid endarterectomy and carotid artery stenting on high-risk carotid stenosis patients

Peifu Wang et al. Pak J Med Sci. 2013 Nov.

Abstract

Objective: To analyze the clinical effects and safety of carotid endarterectomy (CEA) and carotid artery stenting (CAS) in the treatment of high-risk carotid stenosis patients.

Methods: Total 63 patients who underwent CEA or CAS in our hospitals from January 2007 to December 2012 were selected in this study, and were randomly divided into an observation group and a control group. The patients in the observation group were subjected to CAS and those in the control group were subjected to CEA to compare the primary and secondary endpoints of the treatment.

Results: The arrival rates of the primary and secondary endpoints were 7.14% and 10.71% respectively in the observation group, while those were 11.43% and 11.43% respectively in the control group. There were no significant differences in the arrival rates of primary and secondary endpoints between the two groups (P>0.05).

Conclusion: The efficacies and safety of CAS and CEA are similar in treating high-risk carotid stenosis patients.

Keywords: Carotid endarterectomy; Carotid stenting; High-risk carotid stenosis; Security; Treatment efficacy.

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Figures

Fig.1
Fig.1
Control group. A: Severe stenosis of left internal carotid artery (threshold part) accompanied by ulcers before surgery; B: Stenosis of left internal carotid artery (threshold part) without ulcers after CEA
Fig.2
Fig.2
Observation group. A: Severe stenosis of right internal carotid artery before surgery; B: Vanished stenosis after CAS
See this image and copyright information in PMC

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