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Who Benefits Most from Intervention for Asymptomatic Carotid Stenosis: Patients or Professionals
European Journal of Vascular and Endovascular Surgery, 05/28/09
Naylor AR et al. - Although there is level I evidence supporting the role of carotid endarterectomy in patients with asymptomatic disease, opinion remains polarised regarding what constitutes optimal management, especially as carotid artery stenting has emerged as a less invasive alternative. Reasons for this lack of consensus amongst surgeons, interventionists, neurologists and stroke physicians include their continued inability to identify ‘high risk for stroke' patients in whom to target costly therapies.
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