Carotid endarterectomy versus stenting in octogenarians

Materials and methods During a 7 year period from October 2000 to April 2007, 84 symptomatic carotid stenosis were treated at Department of general surgery of AUO “Federico II” of Naples 48 with CAS and 36 with CEA. We divided our patients in two group not randomly but according to valuation anesthesia. The age range in this group was 80 to 89 years (average age of 82.7 years). The indication for treatment were transient ischemic attack in (43.1%). Cerebrovascular accident in (23%), amaurosis fugax in (9.3%), vascular tinnitus in (2.6%) Associated risk factors included systemic arterial hypertension, diabetes mellitus, coronary artery disease and significant smoking history. All procedures were performed under local anesthesia. Concomitantly or during the same hospitalization two patients underwent adjunctive procedures (coronary artery bypass, lung resection, colon resection).