Fear and loathing in a post-CREST-2 world

Medical editor Malachi Sheahan III, MD, reflects on the release of the CREST-2 results and considers what they may mean for clinical practice. As you likely know, the long-awaited CREST-2 trial results were recently released. While panic and jubilation erupt…
Elucid launches PlaqueIQ image analysis software for carotid arteries

Elucid has announced the launch of its PlaqueIQ image analysis software for the quantification and classification of plaque morphology in the carotid arteries. According to the company, as the “first and only” computed tomography (CT)-based plaque analysis software indicated for the…
Carotid endarterectomy outperforms stenting amid overuse of both procedures in 10-year cohort study

A retrospective, nationwide cohort study has revealed carotid endarterectomy (CEA) performed better than carotid artery stenting (CAS) in France over the course of a decade, while also highlighting the overuse of both procedures in the same period. Based on their…
ROADSTER 3 provides key evidence that ‘goes beyond registry data’ on TCAR-related stroke rates

Thirty-day results from the ROADSTER 3 study have demonstrated that transcarotid artery revascularization (TCAR) is a safe and effective approach in patients who are deemed to be standard risk for experiencing adverse events related to carotid endarterectomy (CEA). These findings…
Large database study finds no difference in outcomes between three carotid shunting strategies

A new Vascular Quality Initiative (VQI) data analysis, recently published in the European Journal of Vascular and Endovascular Surgery (EJVES), has found no statistically significant differences between three carotid endarterectomy (CEA) shunting strategies regarding in-hospital stroke and death rate, including…
First patient enrolled in InspireMD’s CGUARDIANS II pivotal study

InspireMD today announced that the first patient has been enrolled in the company’s CGUARDIANS II clinical trial evaluating its CGuard Prime carotid stent system in patients undergoing carotid artery stenting (CAS) via the transcarotid artery revascularisation (TCAR) approach. The patient was…
Silk Road celebrates milestone of 100,000 TCAR procedures

Silk Road Medical has announced the milestone of more than 100,000 transcarotid artery revascularisation (TCAR) procedures having been performed to date. “A growing number of patients come to us looking for a solution that is minimally invasive and requires less…
CEA and TCAR should be ‘first-line’ interventions for weekend carotid revascularization, researchers advise

Patients who undergo carotid revascularization at the weekend have increased odds of complications and mortality, with transfemoral carotid artery stenting (TFCAS) posing the highest risk and transcarotid artery revascularization (TCAR) the lowest, compared to carotid endarterectomy (CEA). This is one…
LINC 2024: C-GUARDIANS data represent lowest event rates in published trials of CAS, TCAR and CEA

New data from the C-GUARDIANS pivotal investigational device exemption (IDE) trial support consideration of carotid artery stenting (CAS) with the CGuard embolic prevention stent system (EPS; InspireMD) as a “frontline therapeutic option for appropriate patients being considered for carotid revascularisation”.…
Measuring plaque inflammation via SCAIL scores may improve carotid stenosis risk stratification

The use of a relatively novel scoring system, referred to as Symptomatic carotid atheroma inflammation lumen-stenosis (SCAIL), has produced favourable predictive qualities versus the Oxford carotid stenosis tool (OCST) and Essen stroke risk score (ESRS). According to researchers, the SCAIL…

