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

Short term and intermediate term comparison of endarterectomy versus stenting for carotid artery stenosis: systematic review and meta-analysis of randomised controlled clinical trials. BMJ 2010; 340: 459.

Published: 1st January 2010

Authors: Meier P, Knapp G, Tamhane U, Chaturvedi S, Gurm HS.

Conclusion

Almost 5000 procedures were included in this analysis of ten randomized trials. The risk of stroke and death at the time of the procedure was lower after surgery (odds ratio 0.67, 95 per cent confidence interval 0.47 to 0.95, P=0.025), mainly due to the reduction in stroke (0.65, 0.43 to 1.0; P=0.049). Results in the intermediate term were similar.

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