CardioExchange Archive

Results of the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) were presented in San Antonio at the American Stroke Association’s International Stroke Conference 2010. The trial compared carotid endarterectomy to carotid stenting in 2,502 patients at centers in the US and Canada. The primary outcome—the 30 day rate of stroke, death, and MI combined with the rate of ipsilateral stroke over the next 4 years—occurred in 7.2% of patients in the stent group versus 6.8% of patients in the surgery group. The 30 day stroke rate was higher in the stent group, while the 30 day MI rate was higher in the surgery group. Patients over 70 did better with surgery.