The international surgical journal with global reach

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 outcome after stenting versus endarterectomy for symptomatic carotid stenosis: a preplanned meta-analysis of individual patient data. Lancet 2010; 376: 1062-1073.

Published: 2nd February 2011

Authors: Carotid Stenting Trialists’ Collaboration.

Conclusion

This study used data from the three largest international trials (3433 procedures). In the first 120 days after randomization the risk of any stroke or death was higher after stenting (8.9 per cent) than surgery (5.8 per cent); P=0.0006. Subgroup analysis suggested that stenting might be as safe as surgery in people under 70.

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