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- W1544843886 abstract "To the Editor: We were surprised to read the rather unequivocal endorsement1 by the American Heart Association writing group of carotid endarterectomy (CE) for asymptomatic stenosis of greater than 60%. This position does not represent the viewpoint of all stroke neurologists or surgeons, and some professional groups have recently come to the exact opposite conclusion, not recommending CE for asymptomatic stenosis.2 The writing group states that CE is beneficial if the surgical complication rate is less than 3%. Current evidence indicates that CE complication rates are not being closely monitored at US hospitals.3 A recent study found that the surgical complication rates were either unknown or not being monitored at over 50% of teaching hospitals in the United States.4 In the “real world” of CE practice, it is unlikely that a complication rate this low can be uniformly achieved, and a 1991 analysis of Medicare data found that the death rate associated with CE was …" @default.
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- W1544843886 date "1998-07-01" @default.
- W1544843886 modified "2023-09-26" @default.
- W1544843886 title "Concerns Regarding Carotid Endarterectomy Guidelines" @default.
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- W1544843886 doi "https://doi.org/10.1161/01.str.29.7.1475" @default.
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