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Perspectives in Vascular Surgery and Endovascular Therapy
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What's this?

Carotid Artery Stenting in the SPACE and EVA-3S Trials: Analysis and Update

M. Ashraf Mansour, MD, FACS

Division of Cardiovascular Surgery, Spectrum Health, Grand Rapids, Michigan, ashmans2{at}aol.com, mmansour{at}mmpc.com

Carotid artery stenting is an alternative to carotid endarterectomy. Although the stroke and mortality rates after stenting are low, it is yet to be proved that stenting is superior or equal to endarterectomy in low-risk symptomatic and asymptomatic patients. A summary of the results of 2 recent trials comparing carotid stenting with carotid endarterectomy, SPACE, and EVA-3S, is presented herein. Both trials failed to prove noninferiority of carotid stenting compared with carotid endarterectomy.

Key Words: carotid stenting

This version was published on March 1, 2008

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 20, No. 1, 11-14 (2008)
DOI: 10.1177/1531003507313219
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