Carotid angioplasty and stenting with and without cerebral protection -: Clinical alert from the Endarterectomy versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) trial

被引：209

作者：

Mas, JL ^{[1
]}

Chatellier, G ^{[1
]}

Beyssen, B ^{[1
]}

Branchereau, A ^{[1
]}

Becquemin, JP ^{[1
]}

Bonneville, JF ^{[1
]}

Crochet, D ^{[1
]}

Gauz, JC ^{[1
]}

Larrue, V ^{[1
]}

Leys, D ^{[1
]}

Watelet, J ^{[1
]}

Hommel, M ^{[1
]}

Magne, JL ^{[1
]}

Mounier-Vehier, F ^{[1
]}

Boyer, L ^{[1
]}

Favre, JP ^{[1
]}

Giroud, M ^{[1
]}

Hassen-Kodja, K ^{[1
]}

Ricco, JB ^{[1
]}

Pruvo, JP ^{[1
]}

Meder, JF ^{[1
]}

Arquizan, C ^{[1
]}

Becker, F ^{[1
]}

Cattin, F ^{[1
]}

Debray, JM ^{[1
]}

Jausseran, JM ^{[1
]}

Long, A ^{[1
]}

Touboul, PJ ^{[1
]}

Lièvre, M ^{[1
]}

Beregi, JP ^{[1
]}

Bogousslavsky, J ^{[1
]}

Testart, M ^{[1
]}

机构：

[1] Hop St Anne, Dept Neurol, F-75674 Paris 14, France

来源：

STROKE | 2004年 / 35卷 / 01期

关键词：

angioplasty; carotid endarterectomy; carotid stenosis; cerebral ischemia; transient; stents; stroke;

D O I：

10.1161/01.STR.0000106913.33940.DD

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose-Whether cerebral protection during carotid angioplasty and stenting (CAS) is associated with a lower risk of periprocedural stroke or death remains to be established. We report on 80 patients randomized in the CAS arm of the Endarterectomy Versus Angioplasty in Patients With Symptomatic Severe Carotid Stenosis trial comparing CAS (with or without cerebral protection) with carotid surgery in patients with recently symptomatic, severe carotid stenosis. Summary of Report-The Safety Committee recommended stopping unprotected CAS, because the 30-day rate of stroke was 3.9 (0.9 to 16.7) times higher than that of CAS with cerebral protection (4/15 versus 5/58). Conclusion-Although this result was not based on a randomized comparison of unprotected versus protected CAS, it suggests that the use of cerebral protection devices during CAS reduces periprocedural strokes.

引用

页码：E18 / E20

页数：3

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