May 2017 issue of stroke describes varying anatomy of aortic arch and carotid angle makes carotid stenting more risky of recurrent periprocedural strokes , international carotid artery stenting study subgroup analysis shows. It favors carotid endaretetectomy in place of stenting . But earlier comparisons of these two procedures (CREST) showed similar risks in the periprocedural outcome because chance of Periprocedural MI was higher in endarterectomy group.So going deep in to the current anatomy dependent difficulty make stenting a less favorable procedure, as you all know we believe in statistics before deciding on the type of intervention.
How do we go about the interventions in stroke prevention? Share your views and thoughts.
