Abstract
It is an accepted notion that there is an unmet need to accurately identify carotid stenoses which are at risk of future symptoms, apart from the conventional use of the degree of carotid stenosis. This was one of the unresolved issues raised by the most recent clinical practice guidelines1 from the European Society of Vascular Surgery (ESVS) on the management of atherosclerotic carotid disease. The current ESVS management guidelines are primarily based on the degree of carotid stenosis; however, it is acknowledged that there is potential for further fine tuning of this algorithm.
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