JACC study makes case for expanding coverage for carotid artery stenting: Ochsner Health System
2022 AUG 15 (NewsRx) -- By a
When it comes to options for cardiac patients, carotid artery stenting is a procedure that can improve blood flow to the brain. Significant advances in the field of carotid artery stenting have occurred, which are detailed in the new paper, “Carotid Artery Stenting.”
“Carotid artery stenting is a minimally invasive procedure compared to open surgery,” explains first author
The paper analyzes several large, multicenter randomized controlled trials encompassing data from over 25 years and more than 10,000 patients to demonstrate that carotid artery stenting can be just as effective as surgery when it comes to long-term stroke prevention and durability.
The paper suggests that the current CMS coverage decision regarding carotid stenting is outdated and places Medicare patients at a disadvantage by restricting their options for less invasive treatment, and recommends expanding coverage to be equivalent to open surgery.
“The current literature supports equivalent results for carotid stenting and carotid surgery in patients who are suitable candidates for both procedures,” says White. “Some patients will not be good candidates for stenting and should receive surgery, while some patients will be poor candidates for surgery and should receive stents.”
Current coverage is likely to be expanded in the near future to include coverage for carotid stenting that is equal to carotid surgery for:
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