In this large trial, >2500 patients with carotid stenosis were randomized to either stenting or endarterectomy. There were no differences at 2.5 years in the rate of the primary outcome between the groups (composite of stroke, MI, or death), but at 4 years follow-up, the stent group had significantly higher rates of stroke/death (6% vs 5%). Carotid endarterectomy remains the procedure of choice for most patients requiring carotid revascularization (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.