RT Journal Article
SR Electronic
T1 Carotid stenosis: Current strategies for choosing between medical and surgical management
JF Cleveland Clinic Journal of Medicine
JO Cleve Clin J Med
FD Cleveland Clinic
SP 851
OP 861
VO 67
IS 11
A1 Sila, Cathy A.
YR 2000
UL http://www.ccjm.org/content/67/11/851.abstract
AB The effectiveness of carotid revascularization depends on appropriate patient selection and balancing the expected benefits with the risks of treatment. Exceeding a rate of serious complications (strokes and deaths) of 5% for asymptomatic and 9% for symptomatic patients negates any benefit for carotid endarterectomy. Endovascular techniques such as stent-supported angioplasty will likely change the management approach for some patients with carotid occlusive disease. This paper contains the author’s recommendations for choosing between medical and surgical management of carotid stenosis.