| The case against surgery for asymptomatic carotid stenosis. | |
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MedLine Citation:
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PMID: 6506125 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Asymptomatic cervical bruits with their implication of underlying carotid artery disease, carry an established but low risk of stroke. In spite of the rising numbers of patients subjected to carotid endarterectomy for this condition, there is little evidence that the benefits outweight the risks. Outcome data from community studies and the current prospective Toronto study of patients with asymptomatic neck bruits indicate that the annual stroke rate is 1-2%, and the annual cardiac death rate is 2-4%. Published data of the results of carotid surgery suggest that surgical risks outweigh any possible benefits, unless a subgroup with spontaneous stroke risk of at least 5% can be identified. |
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Authors:
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B R Chambers; J W Norris |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Stroke; a journal of cerebral circulation Volume: 15 ISSN: 0039-2499 ISO Abbreviation: Stroke Publication Date: 1984 Nov-Dec |
Date Detail:
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Created Date: 1985-01-23 Completed Date: 1985-01-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0235266 Medline TA: Stroke Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 964-7 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Auscultation Carotid Artery Diseases / diagnosis, surgery* Carotid Artery, Internal Cerebrovascular Disorders / etiology, prevention & control Constriction, Pathologic Endarterectomy* / adverse effects, mortality Humans Neck Prospective Studies Risk Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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