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

Safety of stenting and endarterectomy for asymptomatic carotid artery stenosis: a meta-analysis of randomised controlled trials. Eur J Vasc Endovasc Surg 2018; 55: 614-624.

Published: 17th September 2018

Authors: Cui L, Han Y, Zhang S, Liu X, Zhang J

Conclusion

There were five studies that included 3901 procedures. The risks of major stroke, death, ipsilateral stroke and MI were similar, but the risk of any stroke was lower after surgery: odds ratio 0.53, 95 per cent confidence interval 0.29 to 0.96. The difference was due to a higher rate of minor periprocedural strokes during stenting.

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