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Improved Prognosis for Asymptomatic Carotid Stenosis with Prophylactic Carotid Endarterectomy Stroke 23:479-482, 583-5931992., Freischlag,J.A.,et al, 1992 See this aricle in Pubmed Article Abstract There were no perioperative deaths.There were two postoperative strokes: one in the cerebellar distribution and one in the middle cerebral distribution.During the course of follow-up,no patient suffered a stroke in the hemisphere ipsilateral to carotid endarterectomy.One patient developed ipsilateral transient ischemic attacks 24 months after surgery associated with carotid restenosis.A total of three patients developed four recurrent carotid stenoses,for an incidence of 2.8%.All four recurrences were corrected surgically.Conclusions:These findings are in marked contrast to the reported natural history of patients with>75% stenosis in which the 1-year neurological event rate is 18%and the 1-year stroke rate is 5%.Although final proof of efficacy for prophylactic carotid endarterectomy in asymptomatic patients will await the outcome of randomized trials,until these data are available,prophylactic carotid endarterectomy is justified in centers of excellence that can perform the surgery with low perioperative risk.

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(click to filter results - removes previous filter) carotid artery disease carotid artery disease,asymptomatic carotid artery stenosis carotid artery stenosis,recurrent endarterectomy,carotid endarterectomy,carotid-indications for treatment of neurologic disorder

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