Current indications for carotid endarterectomy.
Randomized, prospective trials examining the effectiveness of carotid endarterectomy have given distinct information into the mechanisms and prevention of embolic strokes. The North American Symptomatic Carotid Endarterectomy Trial (NASCET) and the Asymptomatic Carotid Atherosclerosis Study (ACAS) have demonstrated the benefits of carotid endarterectomy for patients who meet the precise selection criteria and are treated according to established study protocols. The existing challenge to clinicians lies in the application of trial results to the individual patient.
Walker
P M
PM
Toronto Hospital, University of Toronto, Ont.
D016893:Carotid Stenosis / Q000453:epidemiology / Q000601:surgery*; D002561:Cerebrovascular Disorders / Q000517:prevention & control*; D016894:Endarterectomy, Carotid / Q000706:statistics & numerical data*; D006801:Humans; D008403:Mass Screening; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D012307:Risk Factors