Decade of CEA and CAS
Description
Advances in surgical techniques and stenting devices for CEA over the past several decades have improved the prognosis of patients with carotid stenosis. In the present study, we examined improvements over a decade through a retrospective analysis of carotid interventions from a single hospital registry. Patients receiving CEA or CAS were compared for risk of cerebral infarction detected by magnetic resonance imaging, 30-day vascular morbidity and mortality, and effects on cognitive function during two periods separated by one decade. Data in the dataset contains from demographic data, outcomes (findings on control brain magnetic resonance and clinical data) and results of cognitive tests.
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Records of the first 50 consecutive symptomatic carotid stenosis patients and the first 50 consecutive asymptomatic carotid stenosis patients treated by CEA as well as the first 50 consecutive symptomatic and first 50 asymptomatic patients treated by CAS (400 patients in total) at the University Hospital Ostrava over two periods (January 2008 to December 2012 [P1] and January 2018 to December 2022 [P2]) who met the following criteria were included in statistical analysis: 1) carotid stenosis ≥ 70% and indications for CEA or CAS according to current guidelines7,13-15; 2) available preoperative and postoperative brain magnetic resonance images, and 3) signed informed consent.
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Funding
Agentura Pro Zdravotnický Výzkum České Republiky
NV-19-04-00270, NV-19-08-00362, NU22-04-00389