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Symptomatic carotid artery stenosis: the dilemma for a reasonable selection of carotid stenting or endarterectomy.
Authors:Patrice Bergeron
Affiliation:Department of Thoracic and Cardiovascular Surgery, Hôpital Saint Joseph, 26, bd de Louvain, Marseille 13285, Cedex 08, France
Abstract:An excellent meta-analysis from Gurm et al.1 updates the dataconcerning the treatment of symptomatic carotid stenosis bya surgical or endovascular approach. The last two randomized trials, SPACE2 and EVA3S,3 did not,in fact, confirmed the equivalence of the two methods and therefollowed a general unfavourable feeling towards carotid stenting.The article by Gurm et al., 1 which eliminates some old randomizedstudies such as CAVATAS4 and the stopped Leicester trial,5 appearsstatistically sound. We can learn that
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