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Of the 2885 patients participating in the North American Symptomatic Carotid Endarterectomy Trial, 90 (3.1%) had unruptured intracranial aneurysms (UIA), of which 96% had a diameter of less than 10 mm. During an average 5-year follow-up, only one patient had subarachnoid hemorrhage 6 days after carotid endarterectomy (CE). For patients with unrepaired UIA, the 5-year stroke risk was 10% after CE and 22.7% with best medical care. Both risks are similar to those of patients without UIA. The decision regarding CE probably should not be influenced by the presence of a small UIA. |
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aneurysm
aneurysm,intracranial
aneurysm,intracranial,treatment of
aneurysm,size
aneurysm,unruptured
carotid artery disease
carotid artery stenosis
carotid artery stenosis,symptomatic
endarterectomy,carotid
treatment of neurologic disorder
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