Carotid endarterectomy guidelines for symptomatic carotid artery stenosis have been updated using recent randomized studies that clarify the evidence-based indications for surgery.
Does carotid endarterectomy improve outcomes in patients with symptomatic carotid artery stenosis?
This report provides updated guidelines on the indications for carotid endarterectomy based on recent randomized trial evidence.
ince the 1950s carotid endarterectomy has been performed in patients with symptomatic carotid artery stenosis, based on suggestive but inconclusive evidence for its effectiveness. Only during the last 5 years have randomized studies clarified the indications for surgery. In preparing this report, panel members used the same rules of evidence used in the previous report 1,2 (Table ).
Biller et al. (1998) studied this question. Carotid endarterectomy guidelines for symptomatic carotid artery stenosis have been updated using recent randomized studies that clarify the evidence-based indications for surgery.