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Asymptomatic Carotid StenosisRationale for Management
William J. Quiñones-Baldrich, MD;
Wesley S. Moore, MD
Arch Neurol. 1985;42(4):378-382.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Management of the asymptomatic stenosis of the carotid bifurcation remains an unsettled question in the care of patients with generalized atherosclerosis. The natural history of the untreated condition is not known. Available data on the subject are mostly retrospective, ill-defined, and recommendations range from careful observation to aggressive surgical intervention. There are not enough data to support either posture. Whether the available information is reliable and accurate in predicting the stroke risk of the hemodynamically significant carotid lesions remains the main issue in this controversy.
Recently, a cooperative group of Veterans Administration Hospitals embarked on a prospectively randomized study comparing surgical vs medical therapy for patients with significant asymptomatic carotid artery lesions. Until their results are available, therapy must be based on current data. In this article we review this information and attempt to provide guidelines in the management of these patients.
PATIENTS AND METHODS
Definition of Problem
Permanent neurologic
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Surgery, Section of Vascular Surgery, UCLA School of Medicine.
Footnotes
Accepted for publication May 15, 1984.
Reprint requests to Section of Vascular Surgery, Department of Surgery, Room 72-160 CHS, UCLA School of Medicine, Los Angeles, CA 90024 (Dr Moore).
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