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European Heart Journal Advance Access originally published online on January 30, 2007
European Heart Journal 2007 28(3):276-277; doi:10.1093/eurheartj/ehl498
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

First impressions are good, but appearances can be deceptive!

A. Ross Naylor

Department of Vascular Surgery, Clinical Sciences Building, Leicester Royal Infirmary, Leicester UK

Corresponding author. Tel: +44 116 2523252; fax: +44 116 2523179. E-mail address: ross.naylor@uhl-tr.nhs.uk

This editorial refers to ‘Carotid artery stenting in octogenarians: results from the ALKK Carotid Artery Stent (CAS) Registry’{dagger} by Zahn et al., on page 370

The first 150 words of the full text of this article appear below.

We want the facts to fit the preconceptions. When they do not, it is easier to ignore the facts than change the preconceptions.

Jessamyn West (1902–84)

Zahn et al. publish the latest analyses from the Carotid Artery Stent (CAS) Registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausartzte (ALKK) of Germany.1 This reports outcomes following CAS in octogenarians (n = 321) compared with younger patients (n = 2557). As indicated in the introduction, this analysis was prompted by conflicting published data regarding the safety of CAS in elderly patients. Having reviewed their experience, the authors conclude that ‘the in-hospital stroke or death rate does increase significantly with older age; however, there was no excess complication rate in octogenarians’. Is this conclusion valid and how should the ALKK findings influence practice?

Notwithstanding the marked disparity in numbers between the two groups, the ALKK Registry make a number of important observations . . . [Full Text of this Article]


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Related articles in EHJ:

Carotid artery stenting in octogenarians: results from the ALKK Carotid Artery Stent (CAS) Registry
Ralf Zahn, Thomas Ischinger, Matthias Hochadel, Uwe Zeymer, Wolfgang Schmalz, Norbert Treese, Karl Eugen Hauptmann, Hubert Seggewiß, Ilse Janicke, Hartwig Haase, Harald Mudra, Jochen Senges, and for the Arbeitsgemeinschaft Leitende Kardiologische Krankenhausärzte (ALKK)
EHJ 2007 28: 370-375. [Abstract] [Full Text]  



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