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SCAI Statement on the CREST Study Findings: Carotid Stenting is as Safe and Effective as Carotid Surgery in Patients at Risk for Stroke
Date:2/26/2010

the same with equal benefits for both men and for women, and for patients who had previously had a stroke and for those who had not. There were also some notable differences. Investigators found:

  • The age of the patient made a difference – younger patients did better with stents, older patients did better with surgery.  For patients 69 years and younger, stenting results were superior to surgical results; the younger the patient, the larger the stenting benefit.  Conversely, for patients older than 70, surgical results were slightly better than stenting; the older the patient, the larger the surgery benefit.  
  • There was no difference for debilitating or major strokes between the two groups.
  • There were twice as many heart attacks in the surgical group, 2.3 percent compared to 1.1 percent in the stenting group; and more minor strokes (non-disabling strokes that largely resolved) in the stenting group, 2.7 percent versus 1.5 percent for the surgical group, occurring in the time-period surrounding the procedure.  

REMARKS FROM SCAI LEADERS

"The implications of CREST for patients at risk for stroke are significant," said

SOURCE SCAI
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