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Has Evidence Changed Practice? Appropriateness of Carotid Endarterectomy After the Clinical Trials
Neurol 68:187-194,172, Halm,E.A.,et al, 2007
See this aricle in Pubmed

Article Abstract
Since publication of the randomized controlled trials, there has been a reduction in the proportion of patients undergoing carotid endarterectomy (CEA) for inappropriate reasons. The shift toward many asymptomatic patients undergoing CEA is concerning because the net benefit from surgery for these patients is low and is reduced further for patients with high comorbidity.
 
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