FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 351:1493-1501 October 7, 2004 Number 15 Next

	Full Text PDF PDA Full Text PowerPoint Slide Set Editorial by Cambria, R. P. Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

ABSTRACT

Background Carotid endarterectomy is more effective than medical management in the prevention of stroke in patients with severe symptomatic or asymptomatic atherosclerotic carotid-artery stenosis. Stenting with the use of an emboli-protection device is a less invasive revascularization strategy than endarterectomy in carotid-artery disease.

Methods We conducted a randomized trial comparing carotid-artery stenting with the use of an emboli-protection device to endarterectomy in 334 patients with coexisting conditions that potentially increased the risk posed by endarterectomy and who had either a symptomatic carotid-artery stenosis of at least 50 percent of the luminal diameter or an asymptomatic stenosis of at least 80 percent. The primary end point of the study was the cumulative incidence of a major cardiovascular event at 1 year — a composite of death, stroke, or myocardial infarction within 30 days after the intervention or death or ipsilateral stroke between 31 days and 1 year. The study was designed to test the hypothesis that the less invasive strategy, stenting, was not inferior to endarterectomy.

Results The primary end point occurred in 20 patients randomly assigned to undergo carotid-artery stenting with an emboli-protection device (cumulative incidence, 12.2 percent) and in 32 patients randomly assigned to undergo endarterectomy (cumulative incidence, 20.1 percent; absolute difference, –7.9 percentage points; 95 percent confidence interval, –16.4 to 0.7 percentage points; P=0.004 for noninferiority, and P=0.053 for superiority). At one year, carotid revascularization was repeated in fewer patients who had received stents than in those who had undergone endarterectomy (cumulative incidence, 0.6 percent vs. 4.3 percent; P=0.04).

Conclusions Among patients with severe carotid-artery stenosis and coexisting conditions, carotid stenting with the use of an emboli-protection device is not inferior to carotid endarterectomy.

Source Information

From the Cleveland Clinic Foundation, Cleveland (J.S.Y., P.W., K.O.); Pittsburgh Vascular Institute, Pittsburgh (M.H.W.); the Department of Cardiology (R.E.K.) and the Angiographic Core Laboratory (J.J.P.), Brigham and Women's Hospital, Boston; Harvard Medical School, Boston (R.E.K., D.E.C.); University of Nebraska, Omaha (P.F.); Miami Vascular Institute, Miami (B.T.K.); Prairie Cardiovascular Institute, Springfield, Ill. (G.J.M.); St. Luke's Medical Center, Milwaukee (T.K.B.); Texas Heart Institute, Houston (N.E.S.); Vascular Ultrasound Core Laboratory, Morristown, N.J. (M.R.J.); Cordis, Warren, N.J. (D.B.S., B.G.F.); and Beth Israel Deaconess Medical Center, Boston (D.E.C.).

Address reprint requests to Dr. Yadav at Cardiovascular Medicine, Desk F25, Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195, or at yadavj{at}ccf.org.

Full Text of this Article

Related Letters:

Carotid-Artery Stenting versus Endarterectomy
Friedman H. S., Eliasziw M., Barnett H. J.M., Killestein J., Tonarelli S. B., Hart R. G., Yadav J. S., Ouriel K., Fayad P.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:624-627, Feb 10, 2005. Correspondence

This article has been cited by other articles:

• BAIN, M., MOHEET, A. M., RASMUSSEN, P. (2008). Which patients benefit from carotid stenting? What recent trials show. Cleveland Clinic Journal of Medicine 75: 714-720 [Abstract] [Full Text]  
• Daugherty, W.P., White, J.B., Cloft, H.J., Kallmes, D.F. (2008). Rescue Retrieval of AngioGuard Embolic Capture System after Failure of Capture Sheath Retrieval in Carotid Angioplasty and Stenting. Am. J. Neuroradiol. 29: 1594-1595 [Abstract] [Full Text]  
• Tsutsumi, M., Aikawa, H., Onizuka, M., Iko, M., Kodama, T., Nii, K., Hamaguchi, S., Etou, H., Sakamoto, K., Kazekawa, K. (2008). Carotid Artery Stenting for Calcified Lesions. Am. J. Neuroradiol. 29: 1590-1593 [Abstract] [Full Text]  
• Park, B., Aiello, F., Dahn, M. S., Menzoian, J. O., Mavanur, A. (2008). No Gender Influences on Clinical Outcomes or Durability of Repair Following Carotid Angioplasty With Stenting and Carotid Endarterectomy. VASC ENDOVASCULAR SURG 42: 321-328 [Abstract]  
• Palombo, G., Faraglia, V., Stella, N., Giugni, E., Bozzao, A., Taurino, M. (2008). Late Evaluation of Silent Cerebral Ischemia Detected by Diffusion-Weighted MR Imaging after Filter-Protected Carotid Artery Stenting. Am. J. Neuroradiol. 29: 1340-1343 [Abstract] [Full Text]  
• Suliman, A., Greenberg, J., Chandra, A., Barillas, S., Iranpour, P., Angle, N. (2008). Carotid Endarterectomy as the Criterion Standard in High-Risk Elderly Patients. Arch Surg 143: 736-742 [Abstract] [Full Text]  
• Debrey, S. M., Yu, H., Lynch, J. K., Lovblad, K.-O., Wright, V. L., Janket, S.-J. D., Baird, A. E. (2008). Diagnostic Accuracy of Magnetic Resonance Angiography for Internal Carotid Artery Disease: A Systematic Review and Meta-Analysis. Stroke 39: 2237-2248 [Abstract] [Full Text]  
• Balucani, C., Cordonnier, C., Stollberger, C., Finsterer, J., Yu, J.-T., Tan, L., Gurm, H., Cutlip, D. E. (2008). Carotid stenting versus endarterectomy.. NEJM 359: 311-312 [Full Text]  
• Caplan, L. R. (2008). A 70-Year-Old Man With a Transient Ischemic Attack: Review of Internal Carotid Artery Stenosis. JAMA 300: 81-90 [Abstract] [Full Text]  
• Tang, G. L., Matsumura, J. S., Morasch, M. D., Pearce, W. H., Nguyen, A., Amaranto, D., Eskandari, M. K. (2008). Carotid Angioplasty and Stenting vs Carotid Endarterectomy for Treatment of Asymptomatic Disease: Single-Center Experience. Arch Surg 143: 653-658 [Abstract] [Full Text]  
• Schnaudigel, S., Groschel, K., Pilgram, S. M., Kastrup, A. (2008). New Brain Lesions After Carotid Stenting Versus Carotid Endarterectomy: A Systematic Review of the Literature. Stroke 39: 1911-1919 [Abstract] [Full Text]  
• Gurm, H. S., Yadav, J. S., Fayad, P., Katzen, B. T., Mishkel, G. J., Bajwa, T. K., Ansel, G., Strickman, N. E., Wang, H., Cohen, S. A., Massaro, J. M., Cutlip, D. E., the SAPPHIRE Investigators, (2008). Long-Term Results of Carotid Stenting versus Endarterectomy in High-Risk Patients. NEJM 358: 1572-1579 [Abstract] [Full Text]  
• (2008). Management of Carotid Stenosis. NEJM 358: 1617-1621 [Full Text]  
• Kojuri, J., Ostovan, M. A, Zamiri, N., Zolghadr Asli, A., Bani Hashemi, M. A, Borhani Haghighi, A. (2008). Procedural Outcome and Midterm Result of Carotid Stenting in High-Risk Patients. Asian Cardiovasc. Thorac. Ann. 16: 93-96 [Abstract] [Full Text]  
• Setacci, C., Chisci, E., Setacci, F., Iacoponi, F., de Donato, G. (2008). Grading Carotid Intrastent Restenosis: A 6-Year Follow-Up Study. Stroke 39: 1189-1196 [Abstract] [Full Text]  
• Levy, E. I., Mocco, J., Samuelson, R. M., Ecker, R. D., Jahromi, B. S., Hopkins, L. N. (2008). Optimal treatment of carotid artery disease.. J Am Coll Cardiol 51: 979-985 [Abstract] [Full Text]  
• Lin, P. H., Barshes, N. R., Annambhotla, S., Huynh, T. T. (2008). Prospective Randomized Trials of Carotid Artery Stenting Versus Carotid Endarterectomy: An Appraisal of the Current Literature. VASC ENDOVASCULAR SURG 42: 5-11 [Abstract]  
• Kastrup, A., Groschel, K., Nagele, T., Riecker, A., Schmidt, F., Schnaudigel, S., Ernemann, U. (2008). Effects of Age and Symptom Status on Silent Ischemic Lesions after Carotid Stenting with and without the Use of Distal Filter Devices. Am. J. Neuroradiol. 29: 608-612 [Abstract] [Full Text]  
• Peterson, B. G. (2008). Embolic Protection in Infrainguinal Interventions. PERSPECT VASC SURG ENDOVASC THER 20: 63-67 [Abstract]  
• Mansour, M. A. (2008). Carotid Artery Stenting in the SPACE and EVA-3S Trials: Analysis and Update. PERSPECT VASC SURG ENDOVASC THER 20: 11-14 [Abstract]  
• Eskandari, M. K. (2008). Preventable Complications of Carotid Stenting. PERSPECT VASC SURG ENDOVASC THER 20: 17-25 [Abstract]  
• Spiguel, L., Desai, T. R. (2008). Commentary on "Embolic Protection in Infrainguinal Interventions". PERSPECT VASC SURG ENDOVASC THER 20: 68-69  
• Turk, A.S., Chaudry, I., Haughton, V.M., Hermann, B.P., Rowley, H.A., Pulfer, K., Aagaard-Kienitz, B., Niemann, D.B., Turski, P.A., Levine, R.L., Strother, C.M. (2008). Effect of Carotid Artery Stenting on Cognitive Function in Patients With Carotid Artery Stenosis: Preliminary Results. Am. J. Neuroradiol. 29: 265-268 [Abstract] [Full Text]  
• Guzman, L. A., Costa, M. A., Angiolillo, D. J., Zenni, M., Wludyka, P., Silliman, S., Bass, T. A. (2008). A Systematic Review of Outcomes in Patients With Staged Carotid Artery Stenting and Coronary Artery Bypass Graft Surgery. Stroke 39: 361-365 [Abstract] [Full Text]  
• Iyer, S. S., White, C. J., Hopkins, L. N., Katzen, B. T., Safian, R., Wholey, M. H., Gray, W. A., Ciocca, R., Bachinsky, W. B., Ansel, G., Joye, J. D., Russell, M. E., for the BEACH Investigators, (2008). Carotid artery revascularization in high-surgical-risk patients using the Carotid WALLSTENT and FilterWire EX/EZ: 1-year outcomes in the BEACH Pivotal Group.. J Am Coll Cardiol 51: 427-434 [Abstract] [Full Text]  
• Bergeron, P. (2008). Symptomatic carotid artery stenosis: the dilemma for a reasonable selection of carotid stenting or endarterectomy. Eur Heart J 29: 7-9 [Full Text]  
• Gurm, H. S., Nallamothu, B. K., Yadav, J. (2008). Safety of carotid artery stenting for symptomatic carotid artery disease: a meta-analysis. Eur Heart J 29: 113-119 [Abstract] [Full Text]  
• Brown, M. M (2008). Should carotid stenting replace carotid endarterectomy in routine clinical practice?. PN 8: 39-45 [Abstract] [Full Text]  
• Golledge, J. (2008). Carotid Intervention in Asymptomatic Patients. Stroke 39: e17-e17 [Full Text]  
• Mas, J.-L., Chatellier, G., for the EVA3S investigators, (2008). Carotid Angioplasty and Stenting. Stroke 39: e19-e20 [Full Text]  
• Cremonesi, A., Setacci, C., de Donato, G., Gensini, G. F., on behalf of the ICSS-SPREAD Joint Committee on Ca, (2008). The First Consensus Document of ICCS-SPREAD Joint Committee on Carotid Artery Stenting Was Not Premature But Prophetic. Stroke 39: e21-e21 [Full Text]  
• Wolff, T., Guirguis-Blake, J., Miller, T., Gillespie, M., Harris, R. (2007). Screening for Carotid Artery Stenosis: An Update of the Evidence for the U.S. Preventive Services Task Force. ANN INTERN MED 147: 860-870 [Abstract] [Full Text]  
• Veeraswamy, R. K., Rubin, B. G., Sanchez, L. A., Curi, M. A., Geraghty, P. J, Parodi, J. C., Sicard, G. A. (2007). Complications of Carotid Artery Stenting Are Largely Preventable: A Retrospective Error Analysis. PERSPECT VASC SURG ENDOVASC THER 19: 403-408 [Abstract]  
• Golledge, J. (2007). Response to Letter by Tang et al. Stroke 38: e158-e159 [Full Text]  
• Puato, M., Piergentili, C., Zanardo, M., Rocchi, R., Giordan, M., Cardaioli, P., Pauletto, P. (2007). Vascular Remodeling After Carotid Artery Stenting. ANGIOLOGY 58: 565-571 [Abstract]  
• Versaci, F., Del Giudice, C., Scafuri, A., Zeitani, J., Gandini, R., Nardi, P., Salvati, A., Pampana, E., Sebastiano, F., Romagnoli, A., Simonetti, G., Chiariello, L. (2007). Sequential Hybrid Carotid and Coronary Artery Revascularization: Immediate and Mid-Term Results. Ann. Thorac. Surg. 84: 1508-1514 [Abstract] [Full Text]  
• LoGerfo, F. W. (2007). Carotid Stents: Unleashed, Unproven. Circulation 116: 1596-1601 [Full Text]  
• Samuelson, R. M., Yamamoto, J., Levy, E. I., Siddiqui, A. H., Hopkins, L. N. (2007). The Argument to Support Broader Application of Extracranial Carotid Artery Stent Technology. Circulation 116: 1602-1610 [Full Text]  
• Groschel, K., Ernemann, U., Larsen, J., Knauth, M., Schmidt, F., Artschwager, J., Kastrup, A. (2007). Preprocedural C-Reactive Protein Levels Predict Stroke and Death in Patients Undergoing Carotid Stenting. Am. J. Neuroradiol. 28: 1743-1746 [Abstract] [Full Text]  
• McCormick, D. J., Vlad, T., Fasseas, P. (2007). Carotid Artery Stenting Will Replace Carotid Endarterectomy. PERSPECT VASC SURG ENDOVASC THER 19: 223-227 [Abstract]  
• Lin, P. H. (2007). Commentary on "Carotid Artery Stenting Will Replace Carotid Endarterectomy". PERSPECT VASC SURG ENDOVASC THER 19: 228-230  
• Abbruzzese, T. A., Cambria, R. P. (2007). Contemporary Management of Carotid Stenosis: Carotid Endarterectomy Is Here to Stay. PERSPECT VASC SURG ENDOVASC THER 19: 248-256 [Abstract]  
• Adelman, M. A. (2007). Commentary on "Contemporary Management of Carotid Stenosis: Carotid Endarterectomy Is Here to Stay". PERSPECT VASC SURG ENDOVASC THER 19: 257-258  
• Mohler, E. R III (2007). Carotid stenting for atherothrombosis. Heart 93: 1147-1151 [Full Text]  
• Mahmud, E., Cavendish, J. J., Salami, A. (2007). Current Treatment of Peripheral Arterial Disease: Role of Percutaneous Interventional Therapies. J Am Coll Cardiol 50: 473-490 [Abstract] [Full Text]  
• Zahn, R., Hochadel, M., Zeymer, U., Senges, J., Mudra, H. (2007). Concerns on carotid stenting in octogenarians: reply. Eur Heart J 28: 2045-2045 [Full Text]  
• Maynar, M., Baldi, S., Rostagno, R., Zander, T., Rabellino, M., Llorens, R., Alvarez, J., Barajas, F. (2007). Carotid Stenting without Use of Balloon Angioplasty and Distal Protection Devices: Preliminary Experience in 100 Cases. Am. J. Neuroradiol. 28: 1378-1383 [Abstract] [Full Text]  
• Chakravarti, S., Chakravarti, S., Manninen, P., Zhang, W (2007). 44024 - CAROTID ARTERY ANGIOPLASTY AND STENTING:ANESTHETIC IMPLICATIONS. Canadian J. Anesthesia 54: 44024-44024 [Abstract] [Full Text]  
• Harrington, D. W., Munekata, M. T. (2007). Update in General Internal Medicine. ANN INTERN MED 147: 104-116 [Full Text]  
• Schanzer, A., Hoel, A., Owens, C. D., Wake, N., Nguyen, L. L., Conte, M. S., Belkin, M. (2007). Restenosis After Carotid Endarterectomy Performed With Routine Intraoperative Duplex Ultrasonography and Arterial Patch Closure: A Contemporary Series. VASC ENDOVASCULAR SURG 41: 200-205 [Abstract]  
• Lesley, W. S., Buckley, C. J. (2007). Stent-Angioplasty for Internal-to-External Carotid Artery Anastomotic Stenosis: A Case Report. VASC ENDOVASCULAR SURG 41: 262-264 [Abstract]  
• Wang, H., Wang, D., Fraser, K., Swischuk, J., Elwood, P. (2007). Emergent Combined Intracranial Thrombolysis and Carotid Stenting in the Hyperacute Management of Stroke Patients with Severe Cervical Carotid Stenosis. Am. J. Neuroradiol. 28: 1162-1166 [Abstract] [Full Text]  
• Ohki, T. (2007). Clark DJ, Lessio S, O'Donoghue M, Tsalamandris C, Schainfeld R, Rosenfield R. Mechanisms and predictors of carotid artery restenosis: a serial intravascular ultrasound study. J Am Coll Cardiol. 2006;47:2390-2396. PERSPECT VASC SURG ENDOVASC THER 19: 199-201 [Abstract]  
• Cambria, R. P. (2007). Mas JL, Chatellier G, Beyssen B, et al. Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. N Engl J Med. 2006;355:1660-1671. PERSPECT VASC SURG ENDOVASC THER 19: 201-203 [Abstract]  
• Qureshi, A. I. (2007). Carotid Angioplasty and Stent Placement after EVA-3S Trial. Stroke 38: 1993-1996 [Full Text]  
• Sanchez-Arjona, M.B., Sanz-Fernandez, G., Franco-Macias, E., Gil-Peralta, A. (2007). Cerebral Hemodynamic Changes after Carotid Angioplasty and Stenting. Am. J. Neuroradiol. 28: 640-644 [Abstract] [Full Text]  
• Donnan, G. A., Davis, S. M. (2007). Stenting for Middle Cerebral Artery Stenosis: Inevitable but When and How. Stroke 38: 1422-1422 [Full Text]  
• Nandalur, K. R., Hardie, A. D., Raghavan, P., Schipper, M. J., Baskurt, E., Kramer, C. M. (2007). Composition of the Stable Carotid Plaque: Insights From a Multidetector Computed Tomography Study of Plaque Volume. Stroke 38: 935-940 [Abstract] [Full Text]  
• Kao, H.-L., Lin, M.-S., Wang, C.-S., Lin, Y.-H., Lin, L.-C., Chao, C.-L., Jeng, J.-S., Yip, P.-K., Chen, S.-C. (2007). Feasibility of Endovascular Recanalization for Symptomatic Cervical Internal Carotid Artery Occlusion. J Am Coll Cardiol 49: 765-771 [Abstract] [Full Text]  
• Selim, M. (2007). Perioperative Stroke. NEJM 356: 706-713 [Full Text]  
• Lal, B. K. (2007). Cognitive Function After Carotid Artery Revascularization. VASC ENDOVASCULAR SURG 41: 5-13 [Abstract]  
• Bates, E. R., Babb, C. J. D., Casey, D. E., Cates, C. U., Duckwiler, G. R., Feldman, T. E., Gray, W. A., Ouriel, K., Peterson, E. D., Rosenfield, K., Rundback, J. H., Safian, R. D., Sloan, M. A., White, C. J. (2007). ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting: A Report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents (ACCF/SCAI/SVMB/SIR/ASITN Clinical Expert Consensus Document Committee on Carotid Stenting). Vasc Med 12: 35-83  
• Zahn, R., Ischinger, T., Hochadel, M., Zeymer, U., Schmalz, W., Treese, N., Hauptmann, K. E., Seggewiss, H., Janicke, I., Haase, H., Mudra, H., Senges, J., for the Arbeitsgemeinschaft Leitende Kardiologisch, (2007). Carotid artery stenting in octogenarians: results from the ALKK Carotid Artery Stent (CAS) Registry. Eur Heart J 28: 370-375 [Abstract] [Full Text]  
• Fayad, P. (2007). Endarterectomy and Stenting for Asymptomatic Carotid Stenosis: A Race at Breakneck Speed. Stroke 38: 707-714 [Abstract] [Full Text]  
• Derdeyn, C. P. (2007). Carotid Stenting for Asymptomatic Carotid Stenosis: Trial It. Stroke 38: 715-720 [Abstract] [Full Text]  
• Hachinski, V. (2007). Intra-Arterial Thrombolysis for Basilar Artery Thrombosis and Stenting for Asymptomatic Carotid Disease: Implications and Future Directions. Stroke 38: 721-722 [Full Text]  
• Cates, C. U., Patel, A. D., Nicholson, W. J. (2007). Use of Virtual Reality Simulation for Mission Rehearsal for Carotid Stenting. JAMA 297: 265-266 [Full Text]  
• American Society of Interventional & Therapeutic N, , Society for Cardiovascular Angiography and Interve, , Society for Vascular Medicine and Biology, , Society of Interventional Radiology, , Bates, E. R., Babb, J. D., Casey, D. E. Jr, Cates, C. U., Duckwiler, G. R., Feldman, T. E., Gray, W. A., Ouriel, K., Peterson, E. D., Rosenfield, K., Rundback, J. H., Safian, R. D., Sloan, M. A., White, C. J., Harrington, R. A., Abrams, J., Anderson, J. L., Bates, E. R., Eisenberg, M. J., Grines, C. L., Hlatky, M. A., Lichtenberg, R. C., Lindner, J. R., Pohost, G. M., Schofield, R. S., Shubrooks, S. J. JR, Stein, J. H., Tracy, C. M., Vogel, R. A., Wesley, D. J. (2007). ACCF/SCAI/SVMB/SIR/ASITN 2007 Clinical Expert Consensus Document on Carotid Stenting: A Report of the American College of Cardiology Foundation Task Force on Clinical Expert Consensus Documents (ACCF/SCAI/SVMB/SIR/ASITN Clinical Expert Consensus Document Committee on Carotid Stenting). J Am Coll Cardiol 49: 126-170 [Full Text]  
• Reiter, M., Horvat, R., Puchner, S., Rinner, W., Polterauer, P., Lammer, J., Minar, E., Bucek, R.A (2007). Plaque Imaging of the Internal Carotid Artery--Correlation of B-Flow Imaging with Histopathology. Am. J. Neuroradiol. 28: 122-126 [Abstract] [Full Text]  
• Halse, O., Clifton, A., Cloud, G. C. (2007). Endovascular intervention for symptomatic bilateral carotid artery stenosis in an octogenarian. Age Ageing 36: 102-104 [Abstract] [Full Text]  
• Groeneveld, P. W. (2006). Medicare Requirement for Research Participation. JAMA 296: 2923-2924 [Full Text]  
• Reznick, R. K., MacRae, H. (2006). Teaching Surgical Skills -- Changes in the Wind. NEJM 355: 2664-2669 [Full Text]  
• Geraghty, P. J. (2006). Bioabsorbable Stenting for Peripheral Arterial Occlusive Disease. PERSPECT VASC SURG ENDOVASC THER 18: 295-298 [Abstract]  
• Ouriel, K. (2006). Carotid Stent Trials: Past, Present, and Future. PERSPECT VASC SURG ENDOVASC THER 18: 300-303 [Abstract]  
• (2006). Outlook Commentaries. PERSPECT VASC SURG ENDOVASC THER 18: 342-351  
• Ribo, M., Molina, C. A., Alvarez, B., Rubiera, M., Alvarez-Sabin, J., Matas, M. (2006). Transcranial Doppler Monitoring of Transcervical Carotid Stenting With Flow Reversal Protection: A Novel Carotid Revascularization Technique. Stroke 37: 2846-2849 [Abstract] [Full Text]  
• Mas, J.-L., Chatellier, G., Beyssen, B., Branchereau, A., Moulin, T., Becquemin, J.-P., Larrue, V., Lievre, M., Leys, D., Bonneville, J.-F., Watelet, J., Pruvo, J.-P., Albucher, J.-F., Viguier, A., Piquet, P., Garnier, P., Viader, F., Touze, E., Giroud, M., Hosseini, H., Pillet, J.-C., Favrole, P., Neau, J.-P., Ducrocq, X., the EVA-3S Investigators, (2006). Endarterectomy versus Stenting in Patients with Symptomatic Severe Carotid Stenosis. NEJM 355: 1660-1671 [Abstract] [Full Text]  
• Furlan, A. J. (2006). Carotid-Artery Stenting -- Case Open or Closed?. NEJM 355: 1726-1729 [Full Text]  
• Ishii, A., Vinuela, F., Murayama, Y., Yuki, I., Nien, Y.L., Yeh, D.T., Vinters, H.V. (2006). Swine model of carotid artery atherosclerosis: experimental induction by surgical partial ligation and dietary hypercholesterolemia.. Am. J. Neuroradiol. 27: 1893-1899 [Abstract] [Full Text]  
• Hofmann, R., Niessner, A., Kypta, A., Steinwender, C., Kammler, J., Kerschner, K., Grund, M., Leisch, F., Huber, K. (2006). Risk Score for Peri-Interventional Complications of Carotid Artery Stenting. Stroke 37: 2557-2561 [Abstract] [Full Text]  
• Reiter, M., Bucek, R. A., Effenberger, I., Boltuch, J., Lang, W., Ahmadi, R., Minar, E., Schillinger, M. (2006). Plaque Echolucency Is Not Associated With the Risk of Stroke in Carotid Stenting. Stroke 37: 2378-2380 [Abstract] [Full Text]  
• Cremonesi, A., Setacci, C., Bignamini, A., Bolognese, L., Briganti, F., Di Sciascio, G., Inzitari, D., Lanza, G., Lupattelli, L., Mangiafico, S., Pratesi, C., Reimers, B., Ricci, S., de Donato, G., Ugolotti, U., Zaninelli, A., Gensini, G. F. (2006). Carotid Artery Stenting: First Consensus Document of the ICCS-SPREAD Joint Committee. Stroke 37: 2400-2409 [Abstract] [Full Text]  
• Gerhard-Herman, M., Gardin, J. M, Jaff, M., Mohler, E., Roman, M., Naqvi, T. Z (2006). Guidelines for noninvasive vascular laboratory testing: a report from the American Society of Echocardiography and the Society for Vascular Medicine and Biology. Vasc Med 11: 183-200  
• Mlekusch, W., Mlekusch, I., Minar, E., Haumer, M., Kopp, C. W., Ahmadi, R., Lehrner, J., Schillinger, M. (2006). Is There Improvement of "Vascular Depression" after Carotid Artery Stent Placement?. Radiology 240: 508-514 [Abstract] [Full Text]  
• Roffi, M., Yadav, J. S. (2006). Carotid Stenting. Circulation 114: e1-e4 [Full Text]  
• Safian, R. D., Bresnahan, J. F., Jaff, M. R., Foster, M., Bacharach, J. M., Maini, B., Turco, M., Myla, S., Eles, G., Ansel, G. M., on behalf of the CREATE Pivotal Trial Investigator, (2006). Protected Carotid Stenting in High-Risk Patients With Severe Carotid Artery Stenosis. J Am Coll Cardiol 47: 2384-2389 [Abstract] [Full Text]  
• Yadav, J. S. (2006). New Insights Into Improving Acute and Long-Term Outcomes of Carotid Stenting. J Am Coll Cardiol 47: 2397-2398 [Full Text]  
• Clark, D. J., Lessio, S., O'Donoghue, M., Tsalamandris, C., Schainfeld, R., Rosenfield, K. (2006). Mechanisms and Predictors of Carotid Artery Stent Restenosis: A Serial Intravascular Ultrasound Study. J Am Coll Cardiol 47: 2390-2396 [Abstract] [Full Text]  
• Goldstein, L. B., Adams, R., Alberts, M. J., Appel, L. J., Brass, L. M., Bushnell, C. D., Culebras, A., DeGraba, T. J., Gorelick, P. B., Guyton, J. R., Hart, R. G., Howard, G., Kelly-Hayes, M., Nixon, J.V., Sacco, R. L. (2006). Primary Prevention of Ischemic Stroke: A Guideline From the American Heart Association/American Stroke Association Stroke Council: Cosponsored by the Atherosclerotic Peripheral Vascular Disease Interdisciplinary Working Group; Cardiovascular Nursing Council; Clinical Cardiology Council; Nutrition, Physical Activity, and Metabolism Council; and the Quality of Care and Outcomes Research Interdisciplinary Working Group: The American Academy of Neurology affirms the value of this guideline.. Circulation 113: e873-e923 [Abstract] [Full Text]  
• Mauri, L., Rogers, C., Baim, D. S. (2006). Devices for Distal Protection During Percutaneous Coronary Revascularization. Circulation 113: 2651-2656 [Full Text]