Research shows that endarterectomy is not more effective
than treatment with medicine for people who have symptoms, such as a previous
TIA or mild stroke, but less than 50% stenosis (narrowing).1
In some cases surgery may be harmful—the procedure itself may result in more
problems than benefits.
The American Heart Association guidelines recommend
that these people continue treatment with medicine.2
Rerkasem K, Rothwell PM (2011). Carotid endarterectomy for symptomatic carotid stenosis. Cochrane Database of Systematic Reviews (4).
Biller J, et al. (1998). Guidelines for carotid
endarterectomy: A statement for healthcare professionals from a special writing
group of the Stroke Council, American Heart Association. Circulation, 97(5): 501–509. Also available online: http://circ.ahajournals.org/content/97/5/501.full.
January 3, 2013
E. Gregory Thompson, MD - Internal Medicine
& Karin M. Lindholm, DO - Neurology
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