Carotid Stenting Versus Endarterectomy in Symptomatic Carotid Stenosis | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 2, February 2025, Pages 238-243 PDF (446.97 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aimj.2025.446446 | ||
| Authors | ||
| Mohamed Hasan Mansour1; Mohammed Melegy Rabie Hamed2; Osama Aly Kotb Mohamed Ghazala* 2 | ||
| 1Neurosurgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| 2Neurosurgery, Faculty of Medicine for Boys, Al-Azhar University, Assiut, Egypt | ||
| Abstract | ||
| Background: Carotid artery stenosis is a leading cause of TIA, acute stroke, recurrent stroke and chronic cerebrovascular insufficiency, so this needs effective management. Aim: To compare carotid endovascular stenting and carotid endarterectomy in the treatment of symptomatic carotid stenosis patients in terms of efficacy, durability, and safety. Patients and methods: This is a retro and prospective comparative study in Al Azhar university and other hospitals on fifty cases of symptomatic carotid stenosis and were divided into two equal groups of CAS and CEA. Results: In this study, the mean patient’s age was 62.2 in the CAS group and 63.6 in the CEA group, with 46 males and 4 females. Presented with TIA 46% (n=23), headache or unsteadiness in 6% (n=3), and established deficits in 48% (n=24) of all cases. The most preferable outcomes in the CAS group are (70-89%) of stenosis. The outcomes of the CEA group increase with higher degrees of stenosis except in cases with (80-89%) of stenosis. Intraoperative complications occurred in 4% (n=2), including vasospasm in the CAS group. Perioperative complications occurred in 20% (n=10) of our patients. Conclusion: TIA is the most frequent presentation of carotid stenosis, and the increased degree of stenosis was associated with more favorable outcomes. males are more liable for carotid artery stenosis. Hypertension is the most associated risk factor to carotid stenosis. Both groups were associated with favorable outcomes, maybe due to precise selecting symptomatic patients in our study. | ||
| Keywords | ||
| Carotid stenosis; Endarterectomy; Carotid-stenting | ||
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