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Patients undergoing carotid endarterectomy are considered a heterogeneous group based on the following features;presence of low density on cranial CT,vascular territory of the infarct,brain shift,and level of consciousness.While critical review of these retrospective studies suggests that some patients with an acute stroke can safely undergo endarterectomy shortly after the diagnosis is made,direct answers to these questions of timing of endarterectomy after stroke are best addressed by prospective studies.Nevertheless,the present review provided a basis for decision making in certain patients and for the design of future investigations. |
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