Research ArticleOriginal Article
Open Access

Clinical results of carotid artery stenting versus carotid endarterectomy

Tuba Akinci, Eda Derle, Seda Kibaroğlu, Ali Harman, Feride Kural, Pınar Cınar, Munire Kilinc, Hakki T. Akay, Ufuk Can and Ulku S. Benli
Neurosciences Journal October 2016, 21 (4) 319-325; DOI: https://doi.org/10.17712/nsj.2016.4.20160079

Article Figures & Data

Tables

  • Table 1

    Clinical and demographic features of patients between CEA and CAS.

    Clinical and demographic characteristicsCEA (n=194)CAS (n=115)P-value
    n (%)
    <70 years103 (53)59 (51.3)
    DiabetesMellitus81 (41.8)54 (47)0.373
    Hypertension165 (85.1)91 (79.1)0.182
    Coronary Artery Disease122 (62.9)60 (52.2)0.064
    Hyperlipidemia134 (69.1)51 (44.3)<0.001
    Smoking84 (43.3)38 (33)0.002
    Asymptomatic94 (48.5)20 (17.4)<0.001
    Symptomatic100 (51.5)95 (82.6)<0.001
    Stroke55 (28.3)55 (47.8)
    Transient Ischemic Attack13 (6.7)17 (14.8)
    Amaurosis fugax10 (5.1)10 (8.7)
    Vertigo17 (8.8)7 (6.1)
    Syncope5 (2.6)6 (5.2)
    Stenosis0.983
     50-70%7 (3.6)5 (4.3)
     ≥70%187 (96.4)110 (95.7)

    • CEA - carotid endarterectomy, CAS - carotid artery stenting

  • Table 2

    Comparison of the short-term complications between CEA and CAS.

    ComplicationsCEA (n=194)CAS (n=115)P-value
    n (%)
    Short-term complications24 (12.4)21 (18.3)0.211
     Stroke/TIA/Amaurozis fugax15 (7.7)15 (13)0.185
     Local hematoma9 (4.6)2 (1.7)-
     Nerve injury1 (0.5)--
     Exitus2 (1)--
     Bradykardia/hypotension1 (0.5)2 (1.7)-
     Intracranial hematoma-2 (1.7)
     Myocardial infarction---

    • CEA - carotid endarterectomy, CAS - carotid artery stenting

  • Table 3

    The relation of vascular complication with clinical presentation and patient age.

    ComplicationsShort-term stroke/TIA/amaurosis fugaxp-value
    CEACAS
    n (%)
    Asymptomatic4/94 (4.3)1/20 (5)1.000
    Symptomatic11/100 (11)14/95 (14.7)0.571
    <70 years7/103 (6.8)5/59 (8.5)0.759
    ≥70 years8/91 (8.8)10/56 (17.9)0.171

    • n - no of complication/no of patients, CEA - carotid endarterectomy,

      CAS - carotid artery stenting

  • Table 4

    The relation of long-term vascular complication and restenosis rate with clinical presentation.

    ComplicationsAsymptomaticp-valueSymptomaticp-value
    CEA(n=63)CAS(n=18)CEA(n=67)CAS(n=68)
    Long-term vascular complication3 (4.8)2 (11.1)0.3076 (9)2 (2.9)0.165
    Restenosis8 (12.7)3 (16.7)0.70111 (16.4)3 (4.4)0.045

    • CEA - carotid endarterectomy, CAS - carotid artery stenting

  • Table 5

    The relation of long-term vascular complication and restenosis rate with age.

    Complications<70≥70
    CEA(n=70)CAS(n=47)p-valueCEA(n=60)CAS(n=39)p-value
    Long-term vascular complication4 (5.7%)2 (4.3%)1.0005 (8.3%)2 (5.1%)0.701
    Restenosis14 (20%)3 (6.4%)0.0755 (8.3%)3 (7.7%)1.000

    • CEA - carotid endarterectomy, CAS - carotid artery stenting

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