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Outcomes of Carotid Stent Systems Versus Endarterectomy 4.29.08
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Outcomes of Carotid Stent Systems Versus Endarterectomy 4.29.08
1.
![[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Outcomes of Carotid Stent Systems Versus Endarterectomy for Carotid Artery Stenosis Background Methods Limitations Implications Results Objectives Study Participants ,[object Object],[object Object],[object Object],Conclusions Peter W. Groeneveld, MD, MS · Alexis P. Greenhut, MPH · Janell Olah, MFA· Christine Camacho, BA · Feifei Yang, MS Philadelphia VA Medical Center; Division of General Internal Medicine, Department of Medicine, University of Pennsylvania School of Medicine Characteristic CSS n=8,306 CE Before Match n=66,457 Std Diff CE After Match n=8,306 Std Diff Logit ps (SD) -1.8 (0.75) -2.5 (0.63) 70.5 -1.8 (0.75) 3.5 Age, mean (SD) 77 (7) 76 (6) 6.7 76 (6) 0.3 Female 3416 (41) 28,658 (43) 4.0 3,406 (41) 0.2 Black 387 (5) 2,272 (3) 6.3 396 (5) 0.6 Cardiovascular Disease CHF 994 (12) 5,354 (8) 13.1 963 (12) 1.3 Valvular heart dis. 716 (9) 5,728 (9) 0.004 739 (9) 1.0 Periph. vascular dis. 2,553 (31) 10443 (16) 36.2 2,483 (30) 2.1 Hypertension 4,779 (58) 45,051 (68) 21.3 4,847 (58) 1.7 CAD 4,431 (53) 29,614 (45) 17.6 4,441 (54) 0.2 Stroke 159 (2) 992 (2) 3.3 149 (2) 0.9 TIA 194 (2) 1,697 (3) 1.4 212 (3) 1.4 Clinical Co-morbidities Chron. pulm. disease 1,612 (19) 13,598 (21) 2.6 1,662 (20) 1.5 Diabetes 1,908 (23) 16,664 (25) 4.9 1,910 (23) 0.05 Hypothyroidism 554 (7) 5,601 (8) 6.7 559 (7) 0.2 Renal disease 544 (7) 2,687 (4) 11.2 586 (7) 2.3 Cancer (no metast) 661 (8) 5,868 (9) 3.1 630 (8) 1.4 Fluid/e-lyte disorder 305 (4) 2,930 (4) 3.7 318 (4) 0.8 DxCG score (SD) 0.74 (0.9) 0.68 (0.9) 6.5 0.75 (0.9) 1.6 Hospital Characteristics <5000 admit/year 1,880 (23) 21,579 (33) 22.2 1,882 (23) 0.05 5000-10000 admit/yr 3,838 (46) 29,897 (45) 2.5 3,877 (47) 0.9 >10000 admit/year 2,588 (31) 14,981 (23) 19.5 2,547 (31) 1.1 Urban location 4,846 (58) 27,480 (41) 34.5 4,854 (58) 0.2 Major academic 2,935 (35) 12,753 (19) 36.9 2,858 (34) 2.1](https://image.slidesharecdn.com/groeneveldpeter-outcomesofcarotidstentsystemsversusendarterectomy-4-29-08-100818145121-phpapp02/85/Outcomes-of-Carotid-Stent-Systems-Versus-Endarterectomy-4-29-08-1-320.jpg)
