Abstract
Transfemoral carotid stenting (TFCAS) fell dramatically out of favor with vascular surgeons after the results of the CREST trial showed higher rates of stroke compared to carotid endarterectomy (CEA). 1 Brott T.G. Hobson 2nd, R.W. Howard G. et al. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010; 363 ([published correction appears in N Engl J Med. 2010 Jul 29;363(5):498] [published correction appears in N Engl J Med. 2010 Jul 8;363(2):198]): 11-23 Crossref PubMed Scopus (2259) Google Scholar The emergence of TCAR presented a novel technology to stent carotid lesions in patients not suitable or considered high risk for a CEA. Multiple recent studies evaluating the outcomes of TCAR have been very encouraging. 2 Kashyap V.S. Schneider P.A. Foteh M. et al. Early outcomes in the ROADSTER 2 study of transcarotid artery revascularization in patients with significant carotid artery disease. Stroke. 2020; 51: 2620-2629 Crossref PubMed Scopus (55) Google Scholar , 3 Schermerhorn M.L. Liang P. Eldrup-Jorgensen J. et al. Association of transcarotid artery revascularization vs transfemoral carotid artery stenting with stroke or death Among patients with carotid artery stenosis. JAMA. 2019; 322: 2313-2322 Crossref PubMed Scopus (105) Google Scholar , 4 Kashyap V.S. King A.H. Foteh M.I. et al. A multi-institutional analysis of transcarotid artery revascularization compared to carotid endarterectomy. J Vasc Surg. 2019; 70: 123-129 Abstract Full Text Full Text PDF PubMed Scopus (66) Google Scholar This has led to fast and wide adoption of the technique. Impact of Frailty on Postoperative Outcomes in Patients Undergoing TransCarotid Artery Revascularization (TCAR)Annals of Vascular SurgeryVol. 84PreviewFrailty is a clinical syndrome characterized by a reduction in metabolic reserves leading to increased susceptibility to adverse outcomes following invasive surgical interventions. The 5-item modified frailty index (mFI-5) validated in prior studies has shown high predictive accuracy for all surgical specialties, including vascular procedures. In this study, we aim to utilize the mFI-5 to predict outcomes in Transcarotid Revascularization (TCAR). Full-Text PDF
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