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Symptomatic patients have similar outcomes compared with asymptomatic patients after carotid artery stenting with emboli protection.

Yen MH, Lee DS, Kapadia S, Sachar R, Bhatt DL, Bajzer CT, Yadav JS

Departm,ent of Cardiovascular Nedicine/F25, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

In a single-center cohort of 174 consecutive patients, we sought to evaluate whether the use of emboli protection devices (EPDs) results in equivalent rates of adverse events in symptomatic and asymptomatic patients after carotid artery stenting (CAS) with EPDs. Death or stroke occurred in 3.3% in the symptomatic group and in 3.5% of the asymptomatic group at 30 days (p = NS). At 6 months, there was also no significant difference in the rate of stroke or death between the groups. Unlike surgical revascularization, symptomatic patients did not have a greater risk for stroke and death compared with asymptomatic patients after CAS with EPDs.

Published 11 January 2005 in Am J Cardiol, 95(2): 297-300.
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