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Sex-based differences in ten-year nationwide outcomes of carotid revascularization

Journal of American College of Surgeons Apr 27, 2019

Mayor JM, et al. - Men and women, stratified by symptomatic status and procedure type (carotid endarterectomy (CEA) or carotid artery stent (CAS)), were compared regarding the rates of stroke, death and/or myocardial infarction (MI). Using the Nationwide Inpatient Sample (NIS), researchers identified 1,242,688 carotid interventions (1,083,912 CEA; 158,776 CAS; 515,789 (41.5%) female) performed between 2005 and 2015. In this largest cohort study to date, asymptomatic women undergoing CEA or CAS displayed no higher risk of perioperative stroke, death, or MI. Rates of stroke after CEA or CAS were lower among symptomatic men.
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