carotid stenosis clinical trials results

carotid artery stenting versus medical treatment
SAMMPRIS, 2011
NCT00576693
aggressive medical management plus percutaneous transluminal angioplasty and stenting
versus
aggressive medical management alone
patients who had a recent transient ischemic attack or stroke attributed to stenosis of 70 to 99% of the diameter of a major intracranial arteryopen
Follow-up duration: 11.9 months
carotid artery stenting versus surgery
Leicester (Naylor), 1998
Self-expanding Wallstent
versus
surgery
patients with focal carotid territory symptoms and severe ICA stenosis (> 70%) open
Follow-up duration: 1 month
WALLSTENT (Alberts), 2001
Wallstent
versus
open
Follow-up duration: 12 months
CAVATAS-CEA, 2001
ISRCTN01425573
Pre-1994: PTA only after 1994: Wallstent, Streker, Palmaz
versus
carotid endarterectomy
patients of any age with symptomatic or asymptomatic carotid artery stenosis suitable for surgeryopen
Follow-up duration: 36 months (4y)
Kentucky A (Brooks), 2001
Wallstent
versus
surgery
patients presenting with cerebrovascular ischemia ipsilateral to carotid stenosis open
Follow-up duration: 48 months
Kentucky B (Brooks), 2004
Wallstent, Dynalink
versus
carotid endarterectomy
patients with asymptomatic carotid stenosis of more than 80% were selectedopen
Follow-up duration: 48 months
SAPPHIRE (yadav), 2004
Smart or Precise (self-expanding nitinol stent)age/pj
versus
surgery
patients with coexisting conditions that potentially increased the risk posed by endarterectomy and who had either a symptomatic carotid-artery stenosis of at least 50 percent of the luminal diameter or an asymptomatic stenosis of at least 80 percentopen
Follow-up duration: 36 months
EVA-3S (Mas), 2000
various stent
versus
endarterectomy
patients with a symptomatic carotid stenosis of at least 60%open
Follow-up duration: 6 months
SPACE, 2000
carotid-artery stenting (Carotid Wallstent; Precise; Acculink)
versus
Carotid endarterectomy
patients with symptomatic carotid-artery stenosis within 180 days of transient ischaemic attack or moderate stroke (modified Rankin scale score of < or =3)open
Follow-up duration: 1 month
TESCAS-C (Ling), 2006

versus
open
Follow-up duration: 6 months
BACASS (Hoffman), 2006
stent
versus
CEA
patients with symptomatic carotid stenosis > 70%open
Follow-up duration: 45 months
Steinbauer, 2008
carotid artery stenting
versus
Carotid endarterectomy

Follow-up duration: 65 months
ICSS, 2010
ISRCTN25337470
carotid artery stenting
versus
endarterectomy
patients with symptomatic carotid stenosis of greater than 50% within last six monthsopen
Follow-up duration: 120 days
Europe, Autralia, New Zealand, Canada
CREST, 2010
NCT00004732
carotid artery stenting (with distal-protection)
versus
carotid endarterectomy
patients with both asymptomatic and symptomatic extracranial carotid stenosisopen
Follow-up duration: 2.5y
US, Canada
carotid endarterectomy versus control
ACST, 1994
CEA as soon as possible, standard medical treatment including antiplatelet drugs
versus
no CEA unless symptoms occurred, standard medical treatment including antiplatelet drugs
Asymptomatic carotid artery stenosis of 60% or greateropen
Follow-up duration: 3.4y mean
Europe
VA, 1993
carotid endarterectomy aspirin 650 mg bd
versus
aspirin 650 mg bd
Asymptomatic carotid artery stenosis of 50-99%open
Follow-up duration: 4 y (mean)
US
ACAS, 1995
carotid endarterectomy, aspirin 325 mg daily
versus
aspirin 325 mg daily
Asymptomatic carotid artery stenosis of 60% or greateropen
Follow-up duration: 2.7 y mean
North America
ECST, 1998
surgery
versus
control
men and women of any age, with some degree of carotid stenosis, who within the previous 6 months had had at least one transient or mild symptomatic ischaemic vascular event in the distribution of one or both carotid arteriesopen
Follow-up duration: 6.1 years
NASCET, 1998
carotid endarterectomy
versus
medical care alone
Patients with moderate (<70%) carotid stenosis and transient ischemic attacks or nondisabling strokes on the same side as the stenosis (ipsilateral) within 180 daysopen
Follow-up duration: 5 years
VA309, 1991
Carotid endarterectomy plus the best medical care
versus
best medical care alone
Men who presented within 120 days of onset of symptoms that were consistent with transient ischemic attacks, transient monocular blindness, or recent small completed strokes and with with angiographic internal carotid artery stenosis greater than 50% ipsilateral to the presenting symptomsopen
Follow-up duration: 11.9 months