Why the study?
Does carotid endarterectomy prevent stroke and improve survival in asymptomatic patients with severe internal carotid artery stenosis?
Does carotid endarterectomy prevent stroke and improve survival in asymptomatic patients with severe internal carotid artery stenosis?
Routine carotid endarterectomy is inadvisable in older asymptomatic patients with multiple risk factors due to high competing mortality from myocardial infarction, but may be indicated in younger, lower-risk patients.
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High MI mortality cautions against routine CEA in older asymptomatic patients; leaves open selective benefit in younger lower-risk subgroups.
Hushang Javid (1971) studied this question.
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