Document Detail

The case against surgery for asymptomatic carotid stenosis.
MedLine Citation:
PMID:  6506125     Owner:  NLM     Status:  MEDLINE    
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.
B R Chambers; J W Norris
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  15     ISSN:  0039-2499     ISO Abbreviation:  Stroke     Publication Date:    1984 Nov-Dec
Date Detail:
Created Date:  1985-01-23     Completed Date:  1985-01-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  964-7     Citation Subset:  IM    
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MeSH Terms
Carotid Artery Diseases / diagnosis,  surgery*
Carotid Artery, Internal
Cerebrovascular Disorders / etiology,  prevention & control
Constriction, Pathologic
Endarterectomy* / adverse effects,  mortality
Prospective Studies
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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