Abstract:The management of asymptomatic carotid stenosis remains controversial. From December 1983 to December 1987, 188 symptom-free patients were found to have severe (greater than 75%) stenosis by duplex imaging (performed as screening examination). Patients with non-hemispheric symptoms or contralateral symptomatic lesions (within 7 years) were excluded from the study. Follow-up data were available for 141 patients (range 3 to 36 months; mean 21 months). Sixty-two patients received nonoperative therapy. The remaini… Show more
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