Why the study?
Does carotid endarterectomy reduce recurrent ipsilateral stroke in patients with lacunar stroke and severe carotid artery stenosis?
Does carotid endarterectomy reduce recurrent ipsilateral stroke in patients with lacunar stroke and severe carotid artery stenosis?
Evidence suggests that embolic lacunar infarctions can occur, and patients with lacunar stroke and 70-99% carotid artery stenosis may benefit from carotid endarterectomy.
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Nonsignificant ARR with CEA in NASCET lacunar subgroups; leaves open whether endarterectomy reduces recurrent stroke in lacunar infarct with severe CAS.
James Kelly (2002) studied this question.
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