Table 4. Factors to consider in choice of carotid revascularization method.
Factor | Favors |
---|---|
Age >70 years | CEA |
Recently symptomatic patient (<2 weeks) | CEA |
Tortuous and/or heavily calcified vessels | CEA |
Contralateral carotid occlusion | CAS |
Restenosis after prior CEA | CAS |
Previous neck surgery and/or radiation | CAS |
Laryngeal nerve palsy | CAS |
Periprocedural risk of: | |
Myocardial infarction | CAS |
Cranial nerve injury | CAS |
Stroke | CEA |
Death | CEA |
Long-term risk of: | |
Myocardial infarction | No difference |
Stroke | No difference |
Death | No difference |