Staged bilateral carotid stenting, an effective strategy in high-risk patients - insights from a prospective multicenter trial |
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| Authors: | Diehm Nicolas,Katzen Barry T,Iyer Sriram S,White Christopher J,Hopkins L Nelson,Kelley Lynne BEACH investigators |
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| Affiliation: | Baptist Cardiac and Vascular Institute, Miami, FL 33176, USA. |
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| Abstract: | OBJECTIVE: To prospectively evaluate outcomes of high-risk patients undergoing bilateral carotid artery stenting (CAS). METHODS: A total of 747 patients at increased risk for carotid endarterectomy (CEA) were enrolled in a prospective registry at 47 US sites of the Boston Scientific EPI: A Carotid Stenting Trial for Risk Surgical Patients (BEACH) trial. Among them, 78 (10.4%) patients underwent contralateral CAS > 30 days after the primary CAS procedure. Patients were followed at 1, 6, and 12 months, and annually thereafter for 3 years. The primary endpoint was the cumulative incidence of non Q-wave myocardial infarction within 24 hours, periprocedural (
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