A Comparative Analysis of the Outcomes of Carotid Stenting and Carotid Endarterectomy in the Management of Carotid Stenosis


  • Hasan I. Fadel Saad Department of surgery, Faculty of Medicine Omer-Al-Mukhtar University, Al-Bayda, Libya
  • Mustafa Noom Department of Vascular Surgery, BMC, Tripoli, Libya
  • Khalid Shnab Department of Surgery, Faculty of Medicine, Musrata University, Libya
  • Abdel Magid El Osta Department of Surgery, Faculty of Medicine, Tripoli University, Libya




Stroke, carotid stenosis, Carotid endarterectomy (CEA), carotid artery stenting (CAS)


Carotid Stenosis is an important cause of stroke (20%) which is associated with high morbidity and mortality rates. The management is mainly by surgery or carotid stenting. This study reviews 3 years of experience and the outcomes in the treatment of carotid stenosis by the two methods. The study aimed to evaluate and compare the outcomes of both procedures during a 3yr period at a vascular Surgery department of the Cisanello Hospital. 302 pts were retrospectively analyzed; 151 pts assigned for each procedure. The average intervention time was significantly higher for the CEA group O.R: 0.556; 95% C.I; 0.349- 0.886, P: 0.014 but technical successes were achieved in 100% of CEA pts, whereas were achieved in 91.39% of the CAS group. The periprocedural stroke was nonsignificant between the two procedures. The Periprocedural TIA were show significant difference with more incidences in CAS pts [O.R: 7.292, 95% C.I; 1.150- 45.856, P: 0.032] but almost all pts improved. The cranial nerve injuries were a specific complication of CEA [11.9%]. The recurrent stenosis was seen only in CAS pts [2.9%] with O.R: 0.493, 95% C.I; 0.104- 2.345, P: 0.410. Both procedures are effective and comparable in outcomes in the management of carotid Stenosis.


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How to Cite

Saad, H. I. F. ., Noom , M. ., Shnab, K. ., & Osta, A. M. E. . (2019). A Comparative Analysis of the Outcomes of Carotid Stenting and Carotid Endarterectomy in the Management of Carotid Stenosis. Al-Mukhtar Journal of Sciences, 34(4), 306–314. https://doi.org/10.54172/mjsc.v34i4.134



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