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Design of the Carotid Revascularization Endarterectomy vs. Stenting Trial (CREST)

2010; SAGE Publishing; Volume: 5; Issue: 1 Linguagem: Inglês

10.1111/j.1747-4949.2009.00405.x

1747-4949

Amiram Sheffet, Gary S. Roubin, George Howard, Virginia J. Howard, Wesley S. Moore, James F. Meschia, R W Hobson, Thomas G. Brott,

Acute Ischemic Stroke Management

Carotid endarterectomy (CEA) and medical therapy were shown superior to medical therapy alone for symptomatic (> or =50%) and asymptomatic (> or =60%) stenosis. Carotid angioplasty stenting (CAS) offers a less invasive alternative. Establishing safety, efficacy, and durability of CAS requires rigorous comparison with CEA in symptomatic and asymptomatic patients.