Outcomes after carotid artery stenting and endarterectomy in the medicare population

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

Research output: Contribution to journalArticle

55 Citations (Scopus)

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

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Carotid Endarterectomy
Medicare
Carotid Arteries
Population
Stroke
Mortality
Confounding Factors (Epidemiology)
Peripheral Arterial Disease
Renal Insufficiency
Heart Failure
Myocardial Infarction

All Science Journal Classification (ASJC) codes

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

Cite this

Outcomes after carotid artery stenting and endarterectomy in the medicare population. / Wang, Fen Wei; Esterbrooks, Dennis J.; Kuo, Yong Fang; Mooss, Aryan N.; Mohiuddin, Syed M.; Uretsky, Barry F.

In: Stroke, Vol. 42, No. 7, 07.2011, p. 2019-2025.

Research output: Contribution to journalArticle

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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",
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AU - Wang, Fen Wei

AU - Esterbrooks, Dennis J.

AU - Kuo, Yong Fang

AU - Mooss, Aryan N.

AU - Mohiuddin, Syed M.

AU - Uretsky, Barry F.

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