Carotid Artery Stenting
Maria Dalamagka According to the authors, treatment options for patients with significant carotid atherosclerosis include carotid endarterectomy (CEA), carotid artery stenting (CAS), and medical therapy. This is an analysis of results from the Stenting and Angioplasty with Protection in Patients at High-Risk for Endarterectomy (SAPPHIRE) randomized trial, which examined patients at higher surgical risk to determine factors predictive of death or stroke within 30 days of CAS. A new study gives guidance on patient features that identify patients at high and low risk for stroke or death after carotid artery stenting - CAS. Using a population of patients at high surgical risk undergoing stenting (the SAPPHIRE worldwide study), researchers identified variables that were independently associated with higher risk, including demographic, clinical history, and lesion anatomy features, with the aim of developing a bedside tool for risk prediction. "We developed and validated ...