Revisiting the Appropriateness of Carotid Endarterectomy

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Stroke - June 2003
Vol. 34, No. 6
June 2003
Halm, E.A., Chassin, M.R., Tuhrim, S., Hollier, L.H., Popp, A.J., Ascher, E., Dardik, H., Faust, G., and T.S. Riles
pp. 1464-71

In the 1980s, carotid endarterectomy was controversial because proof of efficacy was lacking, complication rates were high, and one third of cases were reported to be inappropriate.  Since publication of several randomized controlled trials (RCTs), rates of carotid endarterectomy have doubled nationwide.  This study assess the appropriateness and use of carotid endarterectomy since publication of the RCTs. 

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