Long-term outcomes of carotid artery stenting (CAS) and endarterectomy (CEA) are similar, according to a new meta-analysis, even though there appear to be some differences in short-term complications and restenosis/reocclusion rates for certain patients. The findings were published online July 8, 2016 ahead of print in the Journal of NeuroInterventional Surgery.

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Hypertension, impaired vasoreactivity, and angioplasty without the use of stents all portend higher risk of restenosis after angioplasty for carotid artery stenosis. Restenosis, in turn, can predict the occurrence of ipsilateral stroke. The authors of the study, published online June 21, 2016, ahead of print in Stroke…

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LOS ANGELES—Carotid artery stenting holds up well over the long term against endarterectomy in asymptomatic and symptomatic patients with severe carotid stenosis, according to results from the ACT I and CREST trials presented at the International Stroke Conference here. But neither trial can address whether either procedure is needed in an era when stroke rates are falling due to more aggressive medical therapy.…

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A novel approach to the treatment of traumatic direct carotid-cavernous fistulae using a stent and technique developed in Shanghai, China, is highly successful, according to research published online by its pioneers on June 1, 2016, ahead of print in Neurosurgery...…

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Sonolysis reduces the incidence and size of new ischemic brain lesions after carotid revascularization, according to a randomized trial published online September 28, 2015, in the European Heart Journal.…

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