{"id":1450,"date":"2010-03-01T15:20:33","date_gmt":"2010-03-01T20:20:33","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/if-its-your-carotid-endarterectomy%c2%a0or-stenting\/"},"modified":"2011-07-19T17:44:18","modified_gmt":"2011-07-19T21:44:18","slug":"if-its-your-carotid-endarterectomy-or-stenting","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2010\/03\/01\/if-its-your-carotid-endarterectomy-or-stenting\/","title":{"rendered":"If It\u2019s Your Carotid, Endarterectomy\u00a0or Stenting?"},"content":{"rendered":"<p>The results from 2 carotid endarterectomy vs stenting trials are in&#8230;.and they are disparate.\u00a0 <a href=\"http:\/\/press.thelancet.com\/icss.pdf\">ICSS <\/a>showed worse outcome with carotid stenting (higher rates of the composite of stroke, death, and procedural MI) versus carotid endarterectomy, whereas <a href=\"http:\/\/americanheart.mediaroom.com\/index.php?s=43&amp;item=971\">CREST <\/a>showed similar efficacy and safety for both. Interestingly, in both studies the rate of nondisabling stroke was significantly higher with stenting, and older patients had a higher risk for events with stenting than with endarterectomy.<\/p>\n<p><strong>If you had a significant carotid stenosis, which procedure would you choose, and why? <\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The results from 2 carotid endarterectomy vs stenting trials are in&#8230;.and they are disparate.\u00a0 ICSS showed worse outcome with carotid stenting (higher rates of the composite of stroke, death, and procedural MI) versus carotid endarterectomy, whereas CREST showed similar efficacy and safety for both. Interestingly, in both studies the rate of nondisabling stroke was significantly [&hellip;]<\/p>\n","protected":false},"author":214,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20,1,9],"tags":[],"class_list":["post-1450","post","type-post","status-publish","format-standard","hentry","category-cardiac-surgery","category-general","category-interventional-cardiology"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1450","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/214"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=1450"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/1450\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=1450"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=1450"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=1450"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}