Why the study?
Does carotid endarterectomy prevent recurrent stroke and improve outcomes in patients with a previous completed stroke?
Population
456 consecutive patients undergoing carotid endarterectomy at the University of California, San Diego…
Comparison
Carotid endarterectomy vs Patients without prior neurologic deficits. No…
Design
Cohort
Follow-up
1 to 10 years (97% follow-up obtained)
Authors
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High morbidity after CEA in prior stroke warrants caution; leaves open net benefit versus nonoperative care pending RCTs.
Does carotid endarterectomy prevent recurrent stroke and improve outcomes in patients with a previous completed stroke?
Carotid endarterectomy in patients with a prior completed stroke carries a high risk of morbidity and mortality (24% at 5 years) and may not offer benefit over nonoperative management.
Joshua A. Bardin (1982) studied this question.
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