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Carotid artery surgery for neurological symptoms was first reported by Eastcott and colleagues in 1954 following earlier recognition that extracranial atheroma was associated with ischaemic stroke. Practice in the UK was more cautious, awaiting the results of European and US trials to clarify management of symptomatic disease with carotid stenosis of over 70%.
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I F Lane (2002) studied this question. Carotid artery surgery for symptomatic patients with over 70% stenosis awaited trial results following the early recognition that extracranial atheroma is associated with ischemic stroke.
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