Appropriate use of carotid endarterectomy.
When stroke-threatening symptoms derive from the extracranial portion of a carotid artery, endarterectomy becomes a consideration. The available evidence indicates clear benefit for patients with a severe symptomatic stenosis. For asymptomatic carotid disease, the risk of a surgical complication may contraindicate the procedure.
Barnett
H J
HJ
John P. Robarts Research Institute, London, Ontario.
Meldrum
H E
HE
D000368:Aged; D016893:Carotid Stenosis / Q000188:drug therapy / Q000401:mortality / Q000601:surgery*; D018572:Disease-Free Survival; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D008297:Male; D009656:North America / Q000453:epidemiology; D018579:Patient Selection; D011183:Postoperative Complications / Q000453:epidemiology; D020521:Stroke / Q000517:prevention & control*