Published April 1, 2021 as 10.3174/ajnr.A7108 ORIGINAL RESEARCH INTERVENTIONAL Carotid Stenting without Embolic Protection Increases Major Adverse Events: Analysis of the National Surgical Quality Improvement Program P. Nazari, P. Golnari, M.C. Hurley, A. Shaibani, S.A. Ansari, M.B. Potts, and B.S. Jahromi ABSTRACT BACKGROUND AND PURPOSE: Published data regarding embolic protection device efﬁcacy is mixed, and its use during carotid ar- tery stent placement remains variable. We, therefore, examined the frequency of embolic protection device use and its association with outcomes after carotid artery stent placement using a national quality improvement data base. MATERIALS AND METHODS: Patients undergoing carotid artery stent placement with or without embolic protection devices were identiﬁed in the American College of Surgeons National Surgical Quality Improvement Program data base. The primary outcome was the incidence of major adverse cardiovascular events (deﬁned as death, stroke, or myocardial infarction/arrhythmia) within 30 days. Propensity scoring was used to create 2 matching cohorts of patients using demographic and baseline variables. RESULTS: Between 2011 and 2018, among 1200 adult patients undergoing carotid artery stent placement, 23.8% did not have embolic protection devices. There was no trend toward increased embolic protection device use with time. Patients without embolic protec- tion device use
American Journal of Neuroradiology – American Journal of Neuroradiology
Published: Apr 1, 2021
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