Perspective: Carotid Stenting and the History of Disruptive Technology in Vascular Surgery

Bower JL, Christensen CM: Disruptive technologies: catching the wave. Harvard Business Review, January-February 2005 Hobson, 2004, Carotid artery stenting is associated with increased complications in octogenarians: 30-day stroke and death rates in the CREST lead-in phase, J Vasc Surg, 40, 1106, 10.1016/j.jvs.2004.10.022 Stanziale, 2006, Carotid artery stenting in octogenarians is associated with increased adverse outcomes, J Vasc Surg, 43, 297, 10.1016/j.jvs.2005.10.062 Mas, 2006, Endarterectomy versus stenting in patients wih symptomatic severe carotid stenosis, N Engl J Med, 355, 1660, 10.1056/NEJMoa061752 Ringleb, 2008, Safety of endovascular treatment of carotid artery stenosis compared with surgical treatment: a meta-analysis, J Vasc Surg, 47, 350, 10.1016/j.jvs.2007.10.035 Luebke, 2007, Meta-analysis of randomized trials comparing carotid endarterectomy and endovascular treatment, Eur J Vasc Endovasc Surg, 34, 470, 10.1016/j.ejvs.2007.06.001 Brahmanandam, 2008, Clinical results of carotid artery stenting compared with carotid endarterectomy, J Vasc Surg, 47, 343, 10.1016/j.jvs.2007.10.034 McPhee, 2007, Carotid endarterectomy was performed with lower stroke and death rates than carotid artery stenting in the United States in 2003 and 2004, J Vasc Surg, 46, 1112, 10.1016/j.jvs.2007.08.030 Blebea J: Widespread carotid stenting (CAS) has a higher procedural mortality than CEA based on a US nationwide database: this difference was even more pronounced in patients with a preop stroke. Presented at the 2007 VEITH Symposium, New York, November 14-18, 2007. Available at www.prolibraries.com/veithsymposium/.