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Carotid Angioplasty and Stenting Is Safe in Women

  • Nandavar Shobha, DNB, DM

      Affiliations

    • Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada
  • ,
  • Mohammed A. Almekhlafi, MD

      Affiliations

    • Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada
  • ,
  • Anjali Pandya, BSc

      Affiliations

    • Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada
  • ,
  • Philippe L. Couillard, MD

      Affiliations

    • Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada
  • ,
  • William F. Morrish, MD, FRCPC

      Affiliations

    • Department Diagnostic Imaging, University of Calgary, Calgary, Alberta, Canada
  • ,
  • John H. Wong, MD, MSc, FRCSC

      Affiliations

    • Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada
    • Department Diagnostic Imaging, University of Calgary, Calgary, Alberta, Canada
  • ,
  • Michael D. Hill, MD, MSc, FRCPC

      Affiliations

    • Department of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada
    • Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
    • Department Diagnostic Imaging, University of Calgary, Calgary, Alberta, Canada
    • Department Medicine, University of Calgary, Calgary, Alberta, Canada
    • Corresponding Author InformationAddress for correspondence: Michael D. Hill, MD, MSc, FRCPC, Department of Clinical Neurosciences, Foothills Medical Center, Room 1242A, University of Calgary, Calgary, Alberta T2N 2T9, Canada.

Published online 09 August 2010 Corrected Proof

References 

  1. Bond R, Narayan SK, Rothwell PM, et al. European Carotid Surgery Trialists' Collaborative Group Clinical and radiographic risk factors for operative stroke and death in the European carotid surgery trial. Eur J Vasc Endovasc Surg. 2002;23:108–116
  2. Alamowitch S, Eliasziw M, Barnett HJ North American Symptomatic Carotid Endarterectomy Trial (NASCET); ASA Trial Group; Carotid Endarterectomy (ACE) Trial Group. The risk and benefit of endarterectomy in women with symptomatic internal carotid artery disease. Stroke. 2005;36:27–31
  3. Young B, Moore WS, Robertson JT, et al. An analysis of peri-operative surgical mortality and morbidity in the Asymptomatic Carotid Atherosclerosis Study. Stroke. 1996;27:2216–2224
  4. Rothwell PM. ACST: which subgroups will benefit most from carotid endarterectomy. Lancet. 2004;364:1122–1123author reply 1125–6
  5. Ederle J, Featherstone RL, Brown MM. Randomized controlled trials comparing endarterectomy and endovascular treatment for carotid artery stenosis: a Cochrane systematic review. Stroke. 2009;40:1373–1380
  6. Bettendorf MJ, Mansour MA, Davis AT, et al. Carotid angioplasty and stenting versus redo endarterectomy for recurrent stenosis. Am J Surg. 2007;193:356–359discussion 359
  7. European Stroke Conference 2009: ICSS: carotid endarterectomy superior to stenting, at least in the short term. Available from: http://www.medscape.com/viewarticle/703471.
  8. Ringleb PA, Allenberg J, Brückmann H, et al. SPACE Collaborative Group 30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomized non-inferiority trial. Lancet. 2006;368:1239–1247
  9. Mas JL, Trinquart L, Leys D, et al. Endarterectomy Versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) trial: results up to 4 years from a randomized, multicentre trial. Lancet Neurol. 2008;7:885–892
  10. Stingele R, Berger J, Alfke K, et al. Clinical and angiographic risk factors for stroke and death within 30 days after carotid endarterectomy and stent-protected angioplasty: a subanalysis of the SPACE study. Lancet Neurol. 2008;7:216–222
  11. CREST shows similar net safety and efficacy with stenting vs endarterectomy for carotid stenosis. Medscape Today [Home page on the Internet]. New York International Stroke Conference (ICS) 2010: Abstract 197. [Presented February 25, 2010, cited on July 4, 2010]. Available from: http://www.medscape.com. Accessed July 4, 2010.
  12. Hill MD, Morrish W, Soulez G, et al. Multicenter evaluation of a self-expanding carotid stent system with distal protection in the treatment of carotid stenosis. AJNR Am J Neuroradiol. 2006;27:759–765
  13. Sarac T, Hertzer N, Mascha E, et al. Gender as a primary predictor of outcome after carotid endarterectomy. J Vasc Surg. 2002;35:748–753
  14. Hansen F, Mangell P, Sonesson B, et al. Diameter and compliance in the human common carotid artery—variations with age and sex. Ultrasound Med Biol. 1995;21:1–9
  15. Schulz UGR, Rothwell PM. Sex differences in carotid bifurcation anatomy and the distribution of atherosclerotic plaque. Stroke. 2001;32:1525–1531
  16. Bond R, Rerkasem K, Cuffe R, et al. A systematic review of the associations between age and sex and the operative risks of carotid endarterectomy. Cerebrovasc Dis. 2005;20:69–77
  17. Naylor AR. There is no sex equality in carotid disease. J Vasc Surg. 2009;50:238
  18. Gray W, Hopkins N, Yadav S, et al. Protected carotid stenting in high-surgical-risk patients: the ARCHeR results. J Vasc Surg. 2006;44:258–268
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  20. Chung J, Shin YS, Lim YC, et al. The clinical outcomes of 75 consecutive patients with cervical carotid artery stenosis treated by carotid artery stenting. J Korean Neurosurg Soc. 2009;45:350–354
  21. Rothwell PM, Slattery J, Warlow CP. Clinical and angiographic predictors of stroke and death from carotid endarterectomy: systematic review. BMJ. 1997;315:1571–1577
  22. Kelsey SF, James M, Holubkov AL, et al. Results of percutaneous transluminal coronary angioplasty in women. 1985–1986 National Heart, Lung, and Blood Institute's Coronary Angioplasty Registry. Circulation. 1993;87:720–727
  23. Van Laanen J, Hendriks JM, Van Sambeek MR. Factors influencing restenosis after carotid artery stenting. J Cardiovasc Surg (Torino). 2008;49:743–747
  24. White CJ, Iyer SS, Hopkins LN, et al. BEACH Trial Investigators. Carotid stenting with distal protection in high surgical risk patients: the BEACH trial 30 day results. Catheter Cardiovasc Interv. 2006;67:503–512
  25. Howard VJ, Voeks JH, Lutsep HL, et al. Does sex matter? Thirty-day stroke and death rates after carotid artery stenting in women versus men: results from the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) lead-in phase. Stroke. 2009;40:1140–1147
  26. Zarins CK, White RA, Diethrich EB, et al. CaRESS Steering Committee and CaRESS Investigators Carotid revascularization using endarterectomy or stenting systems (CaRESS): 4-year outcomes. Endovasc Ther. 2009;16:397–409
  27. Schlüter M, Reimers B, Castriota F, et al. Impact of diabetes, patient age, and gender on the 30-day incidence of stroke and death in patients undergoing carotid artery stenting with embolus protection: a post-hoc subanalysis of a prospective multicenter registry. J Endovasc Ther. 2007;14:271–278
  28. Bosiers M, De Donato G, Deloose K, et al. Are there predictive risk factors for complications after carotid artery stenting?. J Cardiovasc Surg (Torino). 2007;48:125–130
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PII: S0846-5371(10)00130-0

doi: 10.1016/j.carj.2010.06.005

« Back Canadian Association of Radiologists Journal

Article in Press