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Endarterectomy for Moderate Symptomatic Carotid Stenosis:Interim Results from the MRC European Carotid Surgery Trial Lancet 347:1591-1593, , 1996 See this aricle in Pubmed Article Abstract Nine patients were omitted from the analysis because no follow-up data were received.Stroke-free life expectancy(curtailed at 8 years)was shorter in the surgery patients than in the non-surgery control groups(patients with 30-49%stenosis,life expectancy=6:16 years[controls:6-63 years]; patients with 50-69%stenosis,life expectancy=5-93[6-14 years).It remains possible that patients might derive some benefit from surgery in the very long term;however,our data show that no benefit would be gained over a period of<4-5 years in patients with 50-69%stenosis and<6-7 years in patients with 30-49%stenosis.Previous interim results from this study showed that surgery is beneficial in patients with severe stenosis but harmful in those with mild stenosis.With more randomised patients and longer follow-up,the study now shows that endarterectomy is not indicated for most,possibly all,patients with moderate symptomatic carotid stenosis.

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(click to filter results - removes previous filter) carotid artery disease carotid artery stenosis carotid artery stenosis,symptomatic cerebrovascular accident endarterectomy,carotid endarterectomy,carotid-indications for

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