Why the study?
Does surgical management compared to medical management improve outcomes in patients with carotid atherosclerotic disease?
Does surgical management compared to medical management improve outcomes in patients with carotid atherosclerotic disease?
This review summarizes data from large randomized prospective studies to determine the optimal medical and surgical management of carotid atherosclerosis.
Answers are grounded in this paper and cite their sources.
Provides synthesis for carotid stenosis decisions; leaves open questions on modern medical therapy thresholds.
Patients with carotid artherosclerotic disease present with a history of a neurologic event or with the presence of a bruit on physical examination. Recently, large randomized prospective studies have examined this group of patients to determine the optimal course of medical and surgical management. The data from these studies, together with the natural history of carotid disease and factors associated with stroke risk, are reviewed.
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Wittgen et al. (1997) studied this question.
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