New Brain Lesions After Carotid Stenting Versus Carotid Endarterectomy : A Systematic Review of the Literature

Against the background of a relatively low rate of clinical events during carotid angioplasty and stenting (CAS) or carotid endarterectomy (CEA), diffusion-weighted imaging (DWI) is increasingly being used to compare the incidence of new ischemic lesions after both procedures. In addition, DWI may a...

Full description

Saved in:
Bibliographic Details
Published in:Stroke (1970) 2008-06, Vol.39 (6), p.1911-1919
Main Authors: SCHNAUDIGEL, Sonja, GROSCHEL, Klaus, PILGRAM, Sara M, KASTRUP, Andreas
Format: Article
Language:English
Subjects:
Angioplasty - adverse effects
Angioplasty - instrumentation
Angioplasty - statistics & numerical data
Biological and medical sciences
Brain - blood supply
Brain - pathology
Brain - physiopathology
Carotid Stenosis - surgery
Diffusion Magnetic Resonance Imaging - methods
Diffusion Magnetic Resonance Imaging - standards
Endarterectomy, Carotid - adverse effects
Endarterectomy, Carotid - statistics & numerical data
Humans
Medical sciences
Neurology
Neurosurgery
Postoperative Complications - etiology
Postoperative Complications - pathology
Postoperative Complications - physiopathology
Predictive Value of Tests
Skull, brain, vascular surgery
Stents - adverse effects
Stroke - etiology
Stroke - pathology
Stroke - prevention & control
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Vascular diseases and vascular malformations of the nervous system
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Against the background of a relatively low rate of clinical events during carotid angioplasty and stenting (CAS) or carotid endarterectomy (CEA), diffusion-weighted imaging (DWI) is increasingly being used to compare the incidence of new ischemic lesions after both procedures. In addition, DWI may also provide a means of defining the role of different CAS techniques on this adverse outcome. Therefore, we performed a PubMed search and systematically analyzed all peer-reviewed studies published between January 1990 and June 2007 reporting on the occurrence of new DWI lesions after CAS or CEA. Summary of Review- In 32 studies comprising 1363 CAS and 754 CEA procedures, the incidence of any new DWI lesion was significantly higher after CAS (37%) than after CEA (10%) (P
ISSN:0039-2499
1524-4628
DOI:10.1161/STROKEAHA.107.500603