NCDR Study Shows Presence of CCO Not Associated With Adverse Neurological Events
A study published on Jan. 21 in JACC Cardiovascular Interventions found that in patients undergoing elective carotid artery stenting (CAS) the presence of a contralateral carotid artery occlusion (CCO) was not associated with an increased risk of in-hospital death, nonfatal myocardial infarction (MI) or nonfatal stroke.
The authors note that CCOs are associated with adverse neurological events following carotid endarterectomy, but were not found to be associated with higher complications following CAS in older patients or individual patients with prior neurological symptoms. They conclude that these findings "may have implications on the selection of carotid revascularization procedures for such patients."
"Observational analyses from the NCDR's CARE Registry such as this present study increasingly offer valuable insight for both clinicians and their patients in the assessment of treatment strategy options available for the management of cerebrovascular disease," said Ralph Brindis, MD, MPH, MACC, senior medical officer of External Affairs - ACC-NCDR, and a co-author of the study.
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