Background For the treatment of symptomatic carotid stenosis, results from randomized controlled trials have demonstrated a higher short-term risk of stroke linked with carotid stenting than with carotid endarterectomy. These trials, however, lacked sufficient power to examine whether carotid artery stenting would be a secure substitute for endarterectomy in particular patient categories. Consequently, a planned meta-analysis of patient-specific data from three randomized controlled trials was carried out.
This leads to an interpretation that In younger individuals, stenting for symptomatic carotid stenosis may be as safe as endarterectomy but should be avoided in older patients (over 70 years).
The major arteries on either side of the neck narrow due to carotid artery stenosis. Blood travels through these arteries to the head, face, and brain. Atherosclerosis, a disorder where plaque builds up inside the arteries, is frequently the cause of this narrowing. Stenosis can progressively deteriorate until the artery is entirely blocked, which may cause a stroke.
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