Letter by Moris and Avgerinos Regarding Article, “Long-Term Outcome After Carotid Artery Stenting: A Population-Based Matched Cohort Study”
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To the Editor:
We read with great interest the recent publication of Jonsson et al1 assessing the long-term outcomes after carotid stenting (CAS) compared with carotid endarterectomy (CEA), in terms of stroke and death. The main finding of the study was that CAS was associated with an increased long-term risk of ipsilateral stroke and death during the perioperative phase when compared with CEA. These results were recently confirmed by a systematic review that demonstrated that stroke/death rates after CAS remain significantly higher than that after CEA in both symptomatic and asymptomatic patients.2
On the contrary, the long-term results of the CREST (Carotid Revascularization Endarterectomy Versus …