4 doctors weighed in:

Are stents safer than carotid end-arterectomies?

4 doctors weighed in
Dr. Robert Spetzler
Neurosurgery
1 doctor agrees

In brief: No

Current data suggests you should have an endarterectomy over stenting for carotid stenosis.

In brief: No

Current data suggests you should have an endarterectomy over stenting for carotid stenosis.
Dr. Robert Spetzler
Dr. Robert Spetzler
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Dr. Timothy Wu
Surgery - Vascular

In brief: Absolutely not.

There is quite a bit of debate on this very topic at the moment, but some conclusions have been drawn: 1) carotid stents are not worse (but not better) than carotid endarterectomy, 2) there appears to be a higher risk of stroke with carotid stenting in people older than 80 years as compared with endarterectomy, 3) stents reduce nerve injury when a repeat carotid endarterectomy is needed.

In brief: Absolutely not.

There is quite a bit of debate on this very topic at the moment, but some conclusions have been drawn: 1) carotid stents are not worse (but not better) than carotid endarterectomy, 2) there appears to be a higher risk of stroke with carotid stenting in people older than 80 years as compared with endarterectomy, 3) stents reduce nerve injury when a repeat carotid endarterectomy is needed.
Dr. Timothy Wu
Dr. Timothy Wu
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Dr. Michael Korona
Radiology - Interventional

In brief: Tough question

Big debate about this topic.
I have been placing carotid stents since 1999. In my opinion, if the operator is experienced, and chooses patients correctly, stents are as safe as endarterectomies. In high risk populations, stents may be safer.

In brief: Tough question

Big debate about this topic.
I have been placing carotid stents since 1999. In my opinion, if the operator is experienced, and chooses patients correctly, stents are as safe as endarterectomies. In high risk populations, stents may be safer.
Dr. Michael Korona
Dr. Michael Korona
Thank
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