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Top research highlighted in fight against heart disease and stroke
Date:12/21/2010

y and carotid artery stenting directly compared

The large CREST trial compared head-to-head the two major methods to reopen narrowed carotid arteries carrying blood flow to the brain: carotid endarterectomy (open surgical repair) and carotid stenting (endovascular placement of a stent). Overall, both techniques had similar rates of success and complication, but among younger patients, under 70 years of age, stenting appeared advantageous while among older patients endarterectomy appeared advantageous. Those findings were also supported in a preplanned meta-analysis of individual patient data from three randomised controlled trials.

  • CREST New England Journal, July 1, 2010; www.nejm.org; N Engl J Med 2010;363(1):11-23; Funding: National Institute of Neurological Disorders and Stroke (NINDS).
  • Carotid Stenting Trialists' Collaboration Lancet, Sept. 10, 2010; www.thelancet.com; Lancet 2010;376:1062-73; Funding: Medical Research Council, the Stroke Association, Sanofi-Synthlabo, European Union.

4. Million person milestone, emerging research shows quality initiatives improve outcomes

In an analysis of the first one million stroke patients enrolled in the national Get With the Guidelines Stroke quality improvement program at nearly 1400 hospitals across the country, quality of care on 10 performance measures improved substantially from 2003 to 2009. More than 80 percent of patients were receiving defect-free care by 2009, up from less than half in 2003. The Get With The Guidelines database is an invaluable resource in furthering development of tools and outcomes results that are making marked improvement in stroke patient care.


Contact: Corporate & Media Communications
cathy.lewis@heart.org
214-706-1396
American Heart Association
Source:Eurekalert

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