Asymptomatic carotid stenosis: Is prophylactic endarterectomy justifiable?-Reference-Cited by-同舟云学术

Asymptomatic carotid stenosis: Is prophylactic endarterectomy justifiable?

Published:1985-04 Issue:4 Volume:72 Page:313-314
ISSN:0007-1323
Container-title:British Journal of Surgery
language:en
Short-container-title:

Author:

Colgan Mary P¹,Kingston Wiley¹,Shanik D G¹

Affiliation:

1. Department of Vascular Surgery, St James's Hospital, PO Box 580, Dublin 8, Ireland

Abstract

Abstract Carotid endarterectomy is well established in the treatment of selected cases of atherosclerosis of the carotid bifurcation; however, its role in the management of asymptomatic stenosis of the internal carotid artery remains controversial. Over a 4 year period 190 patients with 209 asymptomatic stenoses of the internal carotid artery were prospectively studied by means of Doppler ultrasound in combination with real time spectral analysis to determine the natural history of asymptomatic carotid stenosis. We report a cumulative stroke-free survival of 97 per cent at 3 years and we therefore question the merit of prophylactic endarterectomy in the management of asymptomatic carotid disease.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

http://academic.oup.com/bjs/article-pdf/72/4/313/36926521/bjs1800720424.pdf

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