Abstract
While there is strong evidence to justify carotid endarterectomy in patients with transient ischemic attacks and severe ipsilateral carotid artery stenosis, the proper approach to screening for and treating asymptomatic carotid disease remains controversial. The European Carotid Surgery Trialists Collaborative Group previously studied more than 2300 patients randomized to medical or surgical treatment for symptomatic carotid stenosis. They found a surgical benefit for patients with severe (70%-99%) obstructive …
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