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Correspondence
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Volume 356:305-307 January 18, 2007 Number 3
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Endarterectomy versus Stenting for Carotid Stenosis

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 by Mas, J.-L.
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To the Editor: Mas et al. (Oct. 19 issue)1 report the results of the randomized Endarterectomy versus Angioplasty in Patients with Symptomatic Severe Carotid Stenosis (EVA-3S) trial, which suggest the superiority of carotid endarterectomy over carotid-artery stenting in patients with symptomatic stenosis of at least 60%. The results are similar to the recently reported findings in the Stent-Protected Angioplasty versus Carotid Endarterectomy in Symptomatic Patients (SPACE) study.2 However, some points deserve comment. First, the most active center in the trial included few patients (approximately 10 per year). Second, in an important proportion of cases (5%), carotid-artery stenting failed and endarterctomy . . . [Full Text of this Article]


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