Background::Metabolic syndrome (MetS) is relatively common worldwide and an important risk factor for cardiovascular diseases. It is closely linked to arterial stiffness of the carotid artery. However, the association of MetS with the safety of carotid revascularization has been rarely studied. The aim of this study was to observe the current status of MetS and its components in Chinese carotid revascularized patients, and investigate the impact on major adverse clinical events (MACEs) after carotid endarterectomy (CEA) or carotid artery stenting (CAS).Methods::From January 2013 to December 2017, patients undergoing CEA or CAS in the Neurosurgery Department of Xuanwu Hospital were retrospectively recruited. The changes in prevalence of MetS and each component with time were investigated. The primary outcome was 30-day post-operative MACEs. Univariable and multivariable analyses were performed to identify the impact of MetS on CEA or CAS.Results::A total of 2068 patients who underwent CEA (766 cases) or CAS (1

作者：Bai Xue-Song；Feng Yao；Wang Tao；Zhang Xiao；Yang Chang-Lin；Wang Ya-Bing；Hua Yang；Lu Jie；Zhu Feng-Shui；Chen Yan-Fei；Gao Peng；Yang Ren-Jie；Ma Yan；Jiao Li-Qun

来源：中华医学杂志英文版 2020 年 133卷 22期