A prospective registry on carotid artery revascularisation selected by consensus of a cardiovascular team.
EuroIntervention
; 9(11): 1294-300, 2014 Mar 20.
Article
in En
| MEDLINE
| ID: mdl-24650771
ABSTRACT
AIMS:
This prospective registry was designed to evaluate the early and long-term incidence of clinical events in patients with carotid obstructive disease (COD), after carotid artery revascularisation selected by consensus of a cardiovascular team. METHODS ANDRESULTS:
403 consecutive patients with COD scheduled for carotid revascularisation were included 130 were treated with carotid endarterectomy (CEA) and 273 with carotid artery stenting (CAS). Propensity score matching was performed to assemble a cohort of patients in whom all baseline covariates would be well balanced. The occurrence of major adverse cardiac and cerebrovascular events (MACCE), including any death, non-fatal myocardial infarction or stroke, was assessed at 30 days and at long-term follow-up. The incidence of MACCE at 30 days was 4.0% (95% confidence interval 2.1 to 6.0), without any significant difference between the CAS and CEA groups in unmatched and matched populations. The cumulative freedom from MACCE at two-year follow-up was 80.5%±0.94%, with no statistically significant differences between the CAS and CEA groups, both in the total population and in the matched cohort.CONCLUSIONS:
In this registry of patients undergoing carotid artery revascularisation selected by consensus of a cardiovascular team, the early and long-term incidence of clinical events is up to standard.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Stents
/
Endarterectomy, Carotid
/
Carotid Stenosis
/
Angioplasty
Type of study:
Observational_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
EuroIntervention
Journal subject:
ANGIOLOGIA
/
CARDIOLOGIA
/
TERAPEUTICA
Year:
2014
Document type:
Article