Carotid artery atherosclerosis and sleep disordered breathing in healthy elderly subjects: the Synapse cohort.

Background: Sleep-disordered breathing (SDB) has emerged as an independent risk factor for carotid atherosclerosis (CA) and cerebrovascular disease in middle-aged subjects. Currently, there is no study providing a causal relationship between SDB and cerebrovascular lesions in elderly.

Objective: To assess the impact of SDB on CA in a cohort of healthy elderly subjects.

Restenosis is more frequent after carotid stenting than after endarterectomy: the EVA-3S study.

Background And Purpose: Carotid angioplasty and stenting (CAS) may be more often associated with residual or recurrent stenosis than carotid endarterectomy (CEA). We compared the rates of restenosis in patients treated with CAS or CEA in the EVA-3S trial.

Methods: Five hundred seven patients (242 treated by CAS and 265 by CEA) had carotid ultrasound follow-up (mean carotid ultrasound follow-up, 2.