PLoS ONE (Jan 2022)

Restenosis rates in patients with ipsilateral carotid endarterectomy and contralateral carotid artery stenting.

  • Dat Tin Nguyen,
  • Boldizsár Vokó,
  • Balázs Bence Nyárádi,
  • Tamás Munkácsi,
  • Ákos Bérczi,
  • Zoltán Vokó,
  • Edit Dósa

DOI
https://doi.org/10.1371/journal.pone.0262735
Journal volume & issue
Vol. 17, no. 2
p. e0262735

Abstract

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PurposeWe aimed to evaluate the long-term outcome of carotid endarterectomy (CEA) and carotid artery stenting (CAS) in patients who underwent both procedures on different sides.MethodsIn this single-center retrospective study (2001-2019), 117 patients (men, N = 78; median age at CEA, 64.4 [interquartile range {IQR}, 57.8-72.2] years; median age at CAS, 68.8 [IQR, 61.0-76.0] years) with ≥50% internal carotid artery stenosis who had CEA on one side and CAS on the other side were included. The risk of restenosis was estimated by treatment adjusted for patient and lesion characteristics.ResultsNeurological symptoms were significantly more common (41.9% vs 16.2%, PConclusionIntra-patient comparison of CEA and CAS in terms of restenosis tilts the balance toward CAS.