Anatomic Characteristics and Eligibility for Carotid Revascularisation in a Chinese Population with Atherosclerotic Carotid Artery Stenosis

Carotid endarterectomy (CEA) is recommended as the first line therapy for patients with symptomatic carotid stenosis. 1 Naylor R. Rantner B. Ancetti S. de Borst G.J. De Carlo M. Halliday A. et al. Editor's Choice – European Society for Vascular Surgery (ESVS) 2023 clinical practice guidelines on the management of atherosclerotic carotid and vertebral artery disease. Eur J Vasc Endovasc Surg. 2023; 65: 7-111 Abstract Full Text Full Text PDF PubMed Scopus (189) Google Scholar Transfemoral carotid artery stenting (TF-CAS) may be an acceptable alternative but it has been associated with relatively higher procedural stroke rates than CEA. 2 Cui L. Han Y. Zhang S. Liu X. Zhang J. Safety of stenting and endarterectomy for asymptomatic carotid artery stenosis: a meta-analysis of randomised controlled trials. Eur J Vasc Endovasc Surg. 2018; 55: 614-624 Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar Transcarotid artery revascularisation (TCAR) is a novel technique with a significantly lower risk of in hospital neurological complications compared wiuth TF-CAS. 3 Schermerhorn M.L. Liang P. Eldrup-Jorgensen J. Cronenwett J.L. Nolan B.W. Kashyap V.S. et al. Association of transcarotid artery revascularization vs transfemoral carotid artery stenting with stroke or death among patients with carotid artery stenosis. JAMA. 2019; 322: 2313-2322 Crossref PubMed Scopus (153) Google Scholar Currently, no study has evaluated the proportion of Chinese patients who meet the anatomical criteria for each carotid revascularisation procedure.