A single-center clinical study of carotid endarterectomy and carotid artery stenting in the treatment of carotid artery stenosis
WU Changchen
MU Deyong
LIU Yufu
WU Xiaogang
PENG Gang
WANG Fan
Abstract：Objective To compare and analyze the safety and effectiveness of carotid endarterectomy(CEA)and carotid artery stenting(CAS)in the treatment of carotid artery stenosis,and explore the differences in clinical efficacy between the two surgical methods.Methods A prospective analysis was conducted on the clinical data of 161 patients with carotid artery stenosis who received CEA or CAS treatment from September 2018 to September 2021.Results After 1 year of follow-up,both groups of patients underwent B-ultrasound at 6 months and 1 year of follow-up.The plaque detection rate and restenosis rate in CEA group were significantly lower than those in CAS group(P＜0.01).The improvement of postoperative National Institutes of Health Stroke Scale(NIHSS)and Mini-Mental State Examination(MMSE)in CEA group was better than that in CAS group(P＜0.01).For patients with mild infarction before surgery,the improvement of modified Rankin Scale(mRS)in CEA group was better than that in CAS group(P＜0.01),and the difference was statistically significant.Conclusion The plaque detection rate of B-ultrasound follow-up at 6 months and 1 year after surgery in CEA group is significantly lower than that in CAS group,and the restenosis rate in CEA group is lower than that in CAS group.After treatment,both groups are able to improve the neurological and cognitive function of patients.The CEA group shows better improvement in postoperative NIHSS and MMSE.For patients with preoperative infarction,CEA shows more significant improvement in mRS.
Keywords：carotid artery stenosiscarotid endarterectomycarotid artery stentingstroke
Publication Date：2025-02-27
Online Publishing Date：2026-08-26(First online date of this platform, not the publication date of the document)
Pages：7( 198-204 )