COMPARATIVE STUDIES OF CAROTID ENDARTERECTOMY AND CAROTID STENTING IN PATIENTS WITH CORONARY ARTERY STENOSIS (PART I)

Ivanov V.A., Gavrilenko A.V., Ivanov V.V., Terekhin S.A., Piven A.V., Kouklin A.V.
Third Central Military Clinical Hospital named after A.A. Vishnevsky of the Ministry of Defence of the Russian Federation City of Krasnogorsk, Russia B.V. Petrovsky Russian Research Centre of Surgery under the Russian Academy of Medical Sciences, Department of Vascular Surgery B.V. Petrovsky Russian Research Centre of Surgery under the Russian Academy of Medical Sciences,
Moscow, Russia

Carotid artery stenosis has over the last decade been treated increasingly more often by means of angioplasty and stenting, with the indications for these interventions being gradually broadening. The authors review and analyse the results of multicenter randomized studies and registers regarding carotid artery stent grafting and carotid endarterectomy (CAVATAS, SAPPHIRE, ARCHeR, EVA-3S, CaRESS, SPACE, BEACH, CABERNET, CREATE Pivotal). Presented herein are the outcomes of management of symptomatic and symptom-free patients running both usual and high surgical risks for carotid endarterectomy. The commonly accepted criteria for surgical risks are conventionally subdivided into the absolute and relative ones (i.e., correction-prone). Carotid stenting turned out to be superior to carotid endarterectomy in patients running a high surgical risk.

KEY WORDS: carotid angioplasty and stenting, carotid endarterectomy, patients at high surgical risk for carotid endarterectomy, randomised studies of carotid stenting versus carotid endarterectomy.

P. 151

« Back