Stents May Be Efficient Defense Against Stroke – Part 3 of 3
Heart engage rates were higher in the surgery group compared with the stenting group (2,3 percent versus 1,1 percent), which was “highly significant.” The overall findings applied to both patients with symptoms and those without symptoms and to men and women, said meditate on lead author Dr Thomas Brott, professor and director of neurology at the Mayo Clinic in Jacksonville, Fla.
Surprisingly, “there was a slight advancement to surgery for those over 70 which became greater for those as they got older. There was an advantage for those under the age of 70 which got greater as one was younger from that particular point.” In the ICSS trial, which involved over 1700 patients followed for four months, risks for stroke, centre attack or death were higher in the stented group (8,5 percent) versus those who got the artery-scraping surgery (5,2 percent).
Based on those findings, researchers led by Martin Brown, of The National Hospital for Neurology and Neurosurgery, London, concluded that “completion of long-term bolstering is needed to establish the efficacy of treatment with a carotid artery stent compared with endarterectomy. In the meantime, carotid endarterectomy should stay the treatment of choice for symptomatic patients suitable for surgery.”
In the end, approaches to clearing clogged carotid arteries may be decided on a case-by-case basis. “I reflect patient preference will play a big role but older patients may do better with surgery and younger patients may prefer the less invasive option”.