This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Endarterectomy versus angioplasty in patients with symptomatic severe carotid stenosis (EVA-3S) trial: results up to 4 years from a randomised, multicentre trial Lancet Neurology 2008; 7: 885-892

Published: 1st January 2008

Authors: Mas J-L, Trinquart L, Leys D, Albucher JF, Rousseau H, Viguier A et al et al.

Conclusion

After four years, the risk of ipsilateral stroke or death was higher in the angioplasty and stenting group (11.1 vs. 6.2 per cent, P=0.03), but the difference was largely due to the higher procedural risk of stenting. Late strokes were rare after both procedures in this study that included 527 patients.

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