Re: MCQ - carotid stenosis

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Posted by Shreya from IP on June 04, 2012 at 06:49:11:

In Reply to: MCQ - carotid stenosis posted by Shreya on April 28, 2012 at 20:05:42:

Right answer: Carotid endarterectomy

The Asymptomatic Carotid Atherosclerosis Study found that patients who have asymptomatic carotid artery stenosis with a 60% or greater reduction in diameter, and whose general health makes them good candidates for elective surgery, will have a reduced 5-year risk of ipsilateral stroke if carotid endarterectomy is performed. Perioperative morbidity and mortality in the study was below 3%. Aggressive management of modifiable risk factors is also important.

Ref: Executive Committee for the Asymptomatic Carotid Atherosclerosis Study: Endarterectomy for asymptomatic carotid artery stenosis. JAMA 1995;

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