Current Cardiology Reports

, Volume 14, Issue 2, pp 135–141

Carotid Artery Stenting Versus Carotid Endarterectomy: Post CREST

Peripheral Vascular Disease (M Shishehbor, Section Editor)

DOI: 10.1007/s11886-012-0250-5

Cite this article as:
Buschur, M. & Gurm, H.S. Curr Cardiol Rep (2012) 14: 135. doi:10.1007/s11886-012-0250-5

Abstract

The risk of stroke associated with carotid artery stenosis can be reduced with carotid endarterectomy or carotid artery stenting in carefully selected patients. While surgery has been the traditional treatment there have been many trials comparing carotid endarterectomy with carotid artery stenting, and stenting has shown promising results for certain patient populations. This article reviews the natural history of carotid artery stenosis, the data supporting carotid endarterectomy, trials directly comparing surgery to stenting, and current recommendations for each modality.

Keywords

Carotid artery diseaseCarotid artery angioplasty and stentingCarotid endarterectomy

Clinical Trial Acronyms

ACAS

Asymptomatic Carotid Atherosclerosis Study

ACST

Asymptomatic Carotid Surgery Trial

CAVATAS

Carotid and Vertebral Artery Transluminal Angioplasty Study

CREST

Carotid Revascularization Endarterectomy Versus Stenting Trial

ECST

European Carotid Surgery Trial

EVA-3S

Endarterectomy Versus Stenting in Patients with Symptomatic Severe Carotid Stenosis

ICSS

International Carotid Stenting Study

NASCET

North American Symptomatic Carotid Endarterectomy Trial

SAPPHIRE

Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy Trial

SPACE

Stent Protected Angioplasty Versus Carotid Endarterectomy in Symptomatic Patients

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.University of Michigan Cardiovascular CenterAnn ArborUSA
  2. 2.Veterans Affairs Ann Arbor Healthcare SystemAnn ArborUSA