Surgical Treatment of Asymptomatic Carotid Stenosis

Abstract

Letters15 September 1996Surgical Treatment of Asymptomatic Carotid StenosisHenry J.M. Barnett, MD, Michael Eliasziw, PhD, and Heather Meldrum, BAHenry J.M. Barnett, MDThe John P. Robarts Research Institute, London N6A 5K8, Ontario, CanadaSearch for more papers by this author, Michael Eliasziw, PhDThe John P. Robarts Research Institute, London N6A 5K8, Ontario, CanadaSearch for more papers by this author, and Heather Meldrum, BAThe John P. Robarts Research Institute, London N6A 5K8, Ontario, CanadaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-125-6-199609150-00025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree completely that data from trial subgroups should be interpreted cautiously. Nevertheless, it is disappointing that the survival curves for the secondary analysis of disabling stroke remained superimposed for 4.5 years [1]. The lack of benefit for women could be due to small numbers rather than an absence of benefit. The perioperative complication rate of stroke in women (3.6%) was double that in men (1.7%).We did not imply that the ACAS was reporting 60% as an area stenosis. Our comment was that “60% is only equivalent to a linear measurement on an arteriogram if the cut-point ...