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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

-person">Christopher White, M.D., FSCAI, chairman, department of cardiology, and director of the Ochsner Heart & Vascular Institute, Ochsner Medical Center in New Orleans, and secretary of the Society for Cardiovascular Angiography and Interventions. "Previously, carotid stenting has typically been accepted as an alternative for patients who are not good candidates for surgery. As a result of these new findings, physicians will now have more safe and effective options in tailoring treatments for all of their patients at risk for stroke. We encourage the Centers for Medicare and Medicaid (CMS) to reopen its coverage decision on carotid stenting so more patients may benefit from a less-invasive option."

"The CREST data suggest that a larger group of patients, especially younger patients, are good candidates for carotid stenting," said Kenneth Rosenfield, M.D., FSCAI, an interventional cardiologist and section head for vascular medicine and intervention at Massachusetts General Hospital. "These results will enable patients to have more choices, including less-invasive therapy, for clearing their carotid artery. Physicians will also be able to provide better guidance to their patients as to benefits and risks for the various alternative treatments, based on an individual's health history; this should lead to improved patient outcomes."

"As stroke is the third leading cause of death in the United States, the CREST data are valuable – and reass
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