Transcervical carotid artery stenting compared to transfemoral carotid artery stenting and carotid endarterectomy: perioperative and short-term results from a single center - Takeaways - MDSpire

Transcervical carotid artery stenting compared to transfemoral carotid artery stenting and carotid endarterectomy: perioperative and short-term results from a single center

  • By

  • Wenxu Jin

  • Haizhen Ni

  • Chongqing Huang

  • Lemen Pan

  • Yihui Qiu

  • Jingyong Huang

  • Guanfeng Yu

  • June 3, 2026

  • 0 min

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  • 1

    The study compared perioperative outcomes and six-month follow-up results of TC-CAS, TF-CAS, and CEA in 220 patients with carotid artery stenosis.

  • 2

    Perioperative stroke rates were low and comparable among TC-CAS, TF-CAS, and CEA, with rates of 2.0%, 2.5%, and 1.1%, respectively.

  • 3

    Cranial nerve injury was observed only in the CEA group, highlighting a specific complication associated with this surgical approach.

  • 4

    Six-month restenosis rates showed no significant differences among the groups, with rates of 2.0% for TC-CAS, 3.7% for TF-CAS, and 4.5% for CEA.

  • 5

    TC-CAS demonstrated favorable perioperative safety and short-term outcomes, making it a promising alternative for patients with high-risk anatomy.

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