Abstract
Objectives: The role of carotid stenting in the management of extracranial carotid artery occlusive disease remains controversial. Whether the results of randomized controlled trials of select patient groups can be generalized to the population at large remains uncertain. Methods: A retrospective case-control study was performed of all consecutive patients undergoing carotid artery stenting (CAS) and carotid endarterectomy (CEA) within a large rural tertiary health care system. Each CAS patient was matched with two CEA patients. Postoperative outcomes of stroke, acute myocardial infarction (AMI), and death were analyzed at 30 days, 60 days, and long-term (median follow-up 647 days; range, 0-2473 days). Hazard ratios (HR) were calculated with CEA as the reference group, and results were expressed in models adjusted for gender and stratified by age 70 years. Life-table survival estimates were generated and compared with log-rank testing.
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