Stenting as good as surgery for stroke prevention

Stenting is just as safe and effective as endarterectomy for preventing fatal or disabling stroke in patients with symptomatic carotid stenosis, according to the results of a milestone trial.

Over 1,700 patients with carotid artery disease from 50 centres around the world, including Australia, were randomised to either of the two interventions, with a follow-up of up to 10 years.

Both carotid stenting and endarterectomy had similar rates of fatal or disabling strokes, although stented patients had a higher rate of minor strokes, usually with no long-term effects.

Overall, five-year risk of any stroke was