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Friday, August 23, 2013

RESEARCH FAVORS STAGED CAROTID ARTERY STENTING PRIOR TO OPEN HEART SURGERY

The Cleveland Plain Dealer (8/1, Suchetka, 315K) reports that research published online in the Journal of the American College of Cardiology found that “patients who received stents in their...carotid, arteries and then had open-heart surgery a few weeks later had much better chances of remaining healthy in following years,” compared to patients who received other treatments.

CardioSource (8/1) reports that researchers “evaluated the outcomes of 350 patients with severe carotid artery stenosis who underwent one of the three approaches to carotid revascularization within 90 days” before “planned open heart surgery at Cleveland Clinic: staged carotid endarterectomy followed by open heart surgery; combined carotid endarterectomy with open heart surgery; and staged carotid artery stenting followed by open heart surgery.” The investigators found, “at one year of follow up...that staged carotid artery stenting followed by open heart surgery resulted in a lower risk of the composite endpoint of all-cause death, stroke, and myocardial infarction (MI), than staged carotid endarterectomy-open heart surgery and a similar risk compared with combined carotid endarterectomy-open heart surgery.” Data “at follow-up beyond one year showed that patients who underwent staged carotid artery stenting-open heart surgery had a significantly lower risk of the composite outcomes compared with” other participants

POSTED BY: Steven Almany M.D.

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