This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (6)  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in this journal  Topic Collections  • Neurology  • Cerebrovascular Disease  • Cardiovascular System, Other  • Cardiovascular System  • Surgery  • Vascular Surgery  • Alert me on articles by topic  Social Bookmarking   What's this?

Yes

John E. Castaldo, MD
From Lehigh Neurology, Allentown, Pa.

Arch Neurol. 1999;56:877-879.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

WITH THE publication of the Asymptomatic Carotid Atherosclerosis Study (ACAS) results in 1995,¹ much controversy again arose over whether to offer carotid endarterectomy (CE) to asymptomatic patients with severe carotid stenosis.^2-4 In 1985, when laying the ground work for this trial, the investigators had hoped to end much of the controversy and settle what was then felt to be a simple but important question: Is CE helpful or harmful to asymptomatic patients harboring carotid lesions of hemodynamic significance? To my thinking, 3 basic conclusions came from that work: First, that skilled surgeons could perform CE with a 5-year morbidity and mortality rate that was less than half of that obtained with the best medical management alone. Second, the absolute risk of stroke and death with medical management was only 2.3% per year, which was less than half that predicted from historical data available at the time. . . . [Full Text of this Article]

CAROTID


ACCESS

RISKS

OUTLOOK

TRANSIENT ISCHEMIC ATTACKS

ILLNESS

DISCLOSURE/DISCUSSION


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

Is Carotid Endarterectomy Appropriate for Asymptomatic Stenosis?: No
Seemant Chaturvedi
Arch Neurol. 1999;56(7):879-881.
EXTRACT | FULL TEXT  

Carotid Endarterectomy for Asymptomatic Stenosis
Vladimir Hachinski
Arch Neurol. 1999;56(7):881.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Evaluation and Management of Asymptomatic Carotid Artery Stenosis
Dodick et al.
Mayo Clin Proc. 2004;79:937-944.
ABSTRACT