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Carotid artery stenting outcomes in dataset registries: a cause of concern or an opportunity for improvement?
  1. Kosmas I Paraskevas1,
  2. A Ross Naylor2
  1. 1 Department of Vascular Surgery, Northern Vascular Centre, Freeman Hospital, Newcastle-upon-Tyne, UK
  2. 2 Department of Vascular Surgery, Vascular Research Group, Division of Cardiovascular Sciences, Leicester Royal Infirmary, Leicester, UK
  1. Correspondence to Professor A Ross Naylor, Department of Vascular Surgery, Leicester Royal Infirmary, Leicester, UK; ross.naylor{at}

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Dear Editor, Roffi et al 1 report that contemporary outcomes following carotid stenting (CAS) in large-scale registries were comparable to carotid endarterectomy (CEA). They also concluded that, over time, complication rates following CAS had decreased.1

We recently reviewed outcomes after >1 500 000 procedures in 21 administrative dataset registries where procedural death/stroke rates were reported for both CEA and CAS.2 One key finding was that CAS was associated with in-hospital/30-day death/stroke rates that exceeded the 3% American …

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  • Contributors KIP: came up with the idea, searched the literature, wrote the first draft of the manuscript. ARN: critical revision of manuscript, editing, final approval of manuscript.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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