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Correspondence
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}uhl-tr.nhs.uk

https://doi.org/10.1136/heartjnl-2016-309801

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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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    Footnotes

    • 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.

    Linked Articles

    • Education in Heart
      Carotid artery stenting
      Marco Roffi Zsolt Kulcsár Emmanuel Carrera Alberto Cremonesi
      Heart 2016; 102 1059-1069 Published Online First: 04 Mar 2016. doi: 10.1136/heartjnl-2015-307638