None listed
Conditions
Brief summary
Stroke is the most common life threatening and debilitating neurological disorder. It is commonly caused by the flicking off of plaque from calcified arteries in the neck region in patients with atherosclerotic internal carotid artery stenosis. This study retrospectively compares the outcomes after 2 different treatment options for carotid artery stenosis: carotid artery stenting (CAS) and carotid endarterecromy (CEA). All patients who underwent either procedure performed by the primary surgeon, in 4 locations will be included. Specific outcome measures are: (1) post procedure occurrence of further clots in the arteries supplying the brain and (2) post procedure occurrence of external carotid (a branch of the artery being operated on) occlusion. In order to measure these outcomes, we will compare the clinical examination findings as well as imaging (MRI, ultrasound, CT angiography) results pre and post operatively. As CEA is currently the gold standard for treating this condition, we predict that long term outcomes are better in CEA as compared to CAS.
Interventions
Carotid Endarterectomy
Patients observed in this study are those with unilateral and or bilateral carotid artery stenosis and/or occlusion. They underwent either Carotid endarterectomy or Carotid artery stenting, performed by one primary surgeon. The decision to offer carotid endarterectomy vs carotid artery stenting was based on the surgeons clinical assessment of the patient.
All patients recruited will have had their procedures performed at Hollywood Private Hospital, Nedlands, WA or Royal
Carotid Endarterectomy Patients observed in this study are those with unilateral and or bilateral carotid artery stenosis and/or occlusion. They underwent either Carotid endarterectomy or Carotid artery stenting, performed by one primary surgeon. The decision to offer carotid endarterectomy vs carotid artery stenting was based on the surgeons clinical assessment of the patient. All patients recruited will have had their procedures performed at Hollywood Private Hospital, Nedlands, WA or Royal Perth Hospital, Perth, WA between the years 2006 and 2018. All patients have been followed at 3 and 6 months with imaging and in person at 1 year post op by the same primary surgeon in his rooms.
Sponsors
Dr Kishore Siuenarine
Eligibility
Sex/Gender
All
Age
40 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All patients who underwent either Carotid artery stenting or Carotid endarterectomy performed by one vascular surgeon between the years 2006 and 2018 are included
Exclusion criteria
Exclusion criteria included allergy to heparin, aspirin or clopidogrel, contraindication to MRI, intracranial hemorrhage, dementia or neurologic illness that might confound neurological evaluation.
Outcome results
None listed