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Percutaneous transluminal angioplasty and stenting for carotid stenosis: a Cochrane review
  1. Jörg Ederle,
  2. Roland L Featherstone,
  3. Martin M Brown
  1. Stroke Research Group, UCL Institute of Neurology, London, UK
  1. Correspondence to Professor M M Brown, Box 6, The National Hospital for Neurology and Neurosurgery, UCL Institute of Neurology, Queen Square, London WC1N 3BG, UK; m.brown{at}ion.ucl.ac.uk

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Background

Carotid endarterectomy remains the treatment of choice for carotid stenosis. In recent years, endovascular treatment has become more readily available. However, randomised trials have so far failed to show equivalence of endovascular treatment. The aim of this review was therefore to analyse the combined available data from randomised clinical trials.

Methods

Search of the Cochrane Stroke Group trials register (last searched 14 March 2007), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, Issue 1, 2007), MEDLINE (1950–March 2007), EMBASE (1980–March 2007) and Science Citation Index (1945–March 2007) identified randomised trials of endovascular treatment (angioplasty and/or stenting) compared with endarterectomy (surgery) or medical therapy for carotid artery stenosis. One review author independently applied the inclusion criteria, extracted the data and assessed trial quality. Search results were validated by a second review author. Outcome events after randomisation …

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