Evidence map›Paper›PMID 29046977›Full record

ReviewCurrent cardiology reports2017

Carotid Angioplasty and Stenting and Embolic Protection.

Enrico Giordan, Giuseppe Lanzino

Abstract readComparative StudyReview
PubMed Publisher
In one paragraph

Review in Current cardiology reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Proximal balloon-guided catheter with flow inversion vs. distal filter protection during the carotid stent placement, a seven years experience in a Colombian reference center.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Observational
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Enrico GiordanDepartment of Neurologic Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA.
Giuseppe LanzinoDepartment of Neurologic Surgery, Mayo Clinic, 200 1st Street SW, Rochester, MN, 55905, USA. lanzino.giuseppe@mayo.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewWe review the evidence on the safety and efficacy of carotid angioplasty and stenting (CAS) compared to carotid endarterectomy (CEA) and also summarizes emerging technical issues. RECENT

findingsRandomized trials have demonstrated a progressive decrease of periprocedural strokes after CAS. Overall, in symptomatic patients, CAS is associated with a slightly higher risk of periprocedural strokes when compared to CEA. This is especially true after the age of 70 and immediately after a presenting symptomatic event. CAS is associated with lower incidence of periprocedural cardiac events and cranial nerve palsies. Both procedures are equally effective in preventing future ipsilateral ischemic events, and restenosis after CAS is not a major limitation. In asymptomatic patients, CAS is as safe as CEA, although modern medical therapy may be as effective as any carotid intervention. CAS is a valid alternative to CEA in selected patients with symptomatic carotid stenosis. In asymptomatic patients, the two procedures are equally safe, although medical therapy alone may be as effective.

Indexed as

StentsAngioplastyCarotid StenosisEmbolismEndarterectomy, CarotidEndovascular ProceduresHumansPatient SelectionPostoperative ComplicationsStrokeCarotid embolic protectionCarotid endarterectomyCarotid stenting

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.