Findings

What do systematic reviews say?

4 questions · 4 findings · 3 reviews · Stroke

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No studies found 1 · 25%GRADE not reported 0 · 0%Very low 0 · 0%Low 1 · 25%Moderate 1 · 25%High 1 · 25%

Very early cerebral revascularization vs delayed treatment

Myocardial infarction (0 to 30 days) · people with recently symptomatic carotid artery stenosis

The review found no eligible studies for this question.

1 finding from 1 review

Immediate versus delayed treatment for recently symptomatic carotid artery stenosis 2016 · Cochrane Headline outcomes only
no estimate extracted
Studies not reported
No studies found

Local anaesthesia vs general anaesthesia

Myocardial infarction (0 to 30 days) · patients with symptomatic or asymptomatic carotid disease

Local anaesthesia showed no clear difference in myocardial infarction within 30 days of operation compared with general anaesthesia (low certainty).

1 finding from 1 review

Local versus general anaesthesia for carotid endarterectomy 2021 · Cochrane Headline outcomes only
OR 1.53 [0.67, 3.47]
12 studies · 4567 participants
Low

Carotid artery stenting vs endarterectomy

Death or any stroke or myocardial infarction between randomisation and 30 days after treatment · people with symptomatic carotid stenosis

Carotid artery stenting leads to higher death or any stroke or myocardial infarction between randomisation… compared with endarterectomy (high certainty).

1 finding from 1 review

Carotid artery stenting versus endarterectomy for treatment of carotid artery stenosis 2020 · Cochrane Headline outcomes only
OR 1.43 [1.14, 1.8]
6 studies · 4861 participants
High

Carotid artery stenting vs endarterectomy

Death or any stroke or myocardial infarction between randomisation and 30 days after treatment · asymptomatic carotid stenosis

Carotid artery stenting showed no clear difference in death or any stroke or myocardial infarction between randomisation… compared with endarterectomy (moderate certainty).

1 finding from 1 review

Carotid artery stenting versus endarterectomy for treatment of carotid artery stenosis 2020 · Cochrane Headline outcomes only
OR 1.16 [0.73, 1.85]
6 studies · 2978 participants
Moderate