Carotid Endarterectomy has seemingly forever been the gold standard treatment for stenosis of the Carotid Arteries. At this year’s Charing Cross Symposium (CX34) one of the event’s famous “battles” saw the technique pitted against Carotid Stenting with speakers in both camps supporting their position.
Much of the source material for the debate came from the so-called CREST(Carotid Revascularization Endarterectomy vs Stenting Trial) study which, according to stent advocate Sumaira MacDonald “is perhaps one of the more robust bodies of evidence, therefore and as a result, plays an important role in the provision of recommendations.”
At the conclusion of the debate however ninety three per cent of the attending delegates voted “no” to the question; “CREST is telling us to swing towards carotid stenting, Should we?” at the great debate. The results of the voting gave Michael Jenkins and Michel Makaroun clear victory over Sumaira Macdonald and William Gray.
As Michel Makaroun, spokesman against stenting commented; “CREST is telling us many things, but it is decidedly not telling us to swing towards carotid stenting.”
A full account of proceedings can be found here.