Outcomes after carotid artery stenting and endarterectomy in the medicare population

Fen Wei Wang, Dennis Esterbrooks, Yong Fang Kuo, Aryan Mooss, Syed M. Mohiuddin, Barry F. Uretsky

Research output: Contribution to journalArticle

59 Scopus citations

Abstract

Background and Purpose- Carotid artery stenting (CAS) is an alternative to carotid endarterectomy (CEA) for stroke prevention. The value of this therapy relative to CEA remains uncertain. Methods- In 10 958 Medicare patients aged 66 years or older between 2004 and 2006, we analyzed in-hospital, 1-year stroke, myocardial infarction, and death rate outcomes and the effects of potential confounding variables. Results- CAS patients (87% were asymptomatic) had a higher baseline risk profile, including having a higher percentage of coronary and peripheral arterial disease, heart failure, and renal failure. In-hospital stroke rate (1.9% CAS versus 1.4% CEA; P=0.14) and mortality (CAS 0.9% versus 0.6% CEA; P=0.20) were similar. By 1 year, CAS patients had similar stroke rates (5.3% CAS versus 4.1% CEA; P=0.12) but higher all-cause mortality rates (9.9% CAS versus 6.1% CEA; P

Original languageEnglish (US)
Pages (from-to)2019-2025
Number of pages7
JournalStroke
Volume42
Issue number7
DOIs
StatePublished - Jul 1 2011

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All Science Journal Classification (ASJC) codes

  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine
  • Advanced and Specialized Nursing

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