Early outcome of XXXX versus carotid endarterectomy in a single academic center.

@entity1 @entity64 @entity3538 @entity16 @entity2998 @entity1410 @entity583 @entity204 @entity543
BACKGROUND: Evidence is accumulating that @entity3538 ( @entity3538 ) might become an alternative to carotid endarterectomy (CEA) for the treatment of high-grade @entity2998 ( @entity2998 ). Evaluating the efficacy of this novel technique in single institutions in addition to performing further large trials can help to guide optimal @entity1 management in everyday practice. METHODS: In this study we compared the early outcome of 100 prospectively followed @entity1 who underwent @entity3538 with a retrospectively reviewed group of 142 @entity1 that underwent CEA over the same time period. Only @entity1 who had received pre- and postsurgical evaluations by a neurologist were included. According to the criteria set forth by the large trials the occurrence of minor or major @entity64 , @entity583 and @entity204 within 30 days was analysed. RESULTS: Both groups had similar age and sex distributions, as well as cerebrovascular risk factors. In the group of @entity3538 @entity1 63 (63%) and in the group of CEA @entity1 92 (65%) had a symptomatic @entity543 , respectively. For symptomatic @entity1 the overall complication rate (any @entity64 or @entity204 ) was 6.5% (3 minor and 3 major @entity64 ) in the surgical and 8% (2 minor @entity64 , 2 major @entity64 , and 1 @entity204 ) in the non-surgical group (n.s.). For asymptomatic @entity1 there was one minor @entity64 (2%) in the surgical and no @entity64 or @entity204 in the non-surgical group. As a frequent @entity16 the post-procedural course was complicated by groin @entity1410 requiring surgery in 3 @entity3538 @entity1 , and neck @entity1410 requiring additional surgery in 3 CEA @entity1 . CONCLUSIONS: Within our academic institution we found comparable complication rates for @entity3538 and CEA in @entity1 with symptomatic or asymptomatic high-grade @entity2998 . Although these early results are promising and support the notion that @entity3538 may become an alternative treatment option for @entity2998 in everyday practice, the long-term efficacy of @entity3538 has to be evaluated critically by means of further prospective studies.
