Why the study?
Does aortic arch endarterectomy prevent intraoperative stroke in patients with protruding aortic arch atheromas undergoing heart surgery?
Does aortic arch endarterectomy prevent intraoperative stroke in patients with protruding aortic arch atheromas undergoing heart surgery?
Aortic arch endarterectomy in patients with protruding atheromas during heart surgery is strongly associated with an increased risk of intraoperative stroke, challenging its use as a preventive measure.
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Caution against aortic arch endarterectomy for protruding atheromas; leaves open need for randomized confirmation of harm.
Stern et al. (1999) studied this question.
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