Endarterectomy for Stenosis of Less Than 50% With Symptoms
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
Citations
-
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.
|
By
| Healthwise Staff |
|
Primary Medical Reviewer
| E. Gregory Thompson, MD - Internal Medicine |
|
Specialist Medical Reviewer
| Karin M. Lindholm, DO - Neurology |
|
Last Revised
| January 3, 2013 |
Last Revised:
January 3, 2013
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.
