Immediate carotid endarterectomy reduced nonperioperative stroke in severe asymptomatic carotid artery stenosis

Menken, Matthew
September 2004
ACP Journal Club;Sep/Oct2004, Vol. 141 Issue 2, p31
Academic Journal
This article discusses prevention of fatal strokes by successful Carotid Endarterectomy (CEA) in patients without recent neurological symptoms. In patients with severe carotid artery stenosis but no recent stroke or ischemia, CEA is more effective than indefinite deferral of any CEA for reducing perioperative mortality and morbidity and incidence of nonperioperative stroke. 3120 patients (mean age 68 y, 66% men) who had severe unilateral or bilateral carotid artery stenosis (≥ 60% diameter reduction on ultrasonography) but no stroke or ischemia in the previous 6 months were taken as subjects for study.


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