PT  - JOURNAL ARTICLE
AU  - Olcay Aksoy
AU  - Samir R. Kapadia
AU  - Christopher Bajzer
AU  - Wayne M. Clark
AU  - Mehdi H. Shishehbor
TI  - Understanding the CREST results
AID  - 10.3949/ccjm.77a.10074
DP  - 2010 Dec 01
TA  - Cleveland Clinic Journal of Medicine
PG  - 892--902
VI  - 77
IP  - 12
4099  - http://www.ccjm.org/content/77/12/892.short
4100  - http://www.ccjm.org/content/77/12/892.full
SO  - Cleve Clin J Med2010 Dec 01; 77
AB  - The Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) is the largest randomized prospective study to date to compare carotid artery stenting and carotid endarterectomy in a patient population similar to that seen in everyday practice. CREST showed stenting and surgery to be equivalent in terms of the composite end point of stroke, myocardial infarction (MI), or death within 30 days, as well as for the rate of stroke at up to 4 years (N Engl J Med 2010; 363:11–23). Importantly, the risk of major stroke was low with either intervention. However, the results need to be considered in the context of the impact of each procedure on stroke and MI.