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American Stroke Association Late-Breaking Science Report: Surgery, Stenting to Open Blocked Neck Arteries Similar in Safety, Efficacy, But Show Differences in Stroke, Heart Attack and Death Rates at Certain Ages
Date:2/26/2010

his colleagues found that in the 30-day period following the procedure, the rate for stroke was 2.3 percent in the surgical patients and 4.1 percent in the stenting group.  However, the heart attack rate was higher in the surgical group, 2.3 percent, compared to 1.1 percent in the stenting group.  The difference in heart attack and stroke between the two groups was statistically significant, Brott said.

The study also found that the age of the patient made a difference in outcome.  At approximately age 69 and younger, stenting results were slightly better, with a larger benefit for stenting, the younger the age of the patient.  Conversely, for patients older than 70, surgical results were slightly superior to stenting, with larger benefits for surgery, the older the age of the patient.  

In other words, younger patients had fewer events with an implanted stent, while older patients had fewer events with the surgical option, the researchers conclude.

CREST researchers enrolled two types of patients with a partial carotid blockage.  Symptomatic participants had suffered a non-disabling stroke or a transient ischemic attack (TIA) within the previous six months.  Asymptomatic patients had not had a stroke or TIA during the same time span.


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SOURCE American Stroke Association
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