Endarterectomy for Stenosis of Less Than 50% With Symptoms

Endarterectomy for Stenosis of Less Than 50% With Symptoms

Research shows that endarterectomy is not more effective than treatment with medicine for people who have symptoms, such as a previous TIA or mild stroke, but less than 50% stenosis (narrowing). 1 In some cases surgery may be harmful—the procedure itself may result in more problems than benefits.

The American Heart Association guidelines recommend that these people continue treatment with medicine. 2

Citations

  1. Rerkasem K, Rothwell PM (2011). Carotid endarterectomy for symptomatic carotid stenosis. Cochrane Database of Systematic Reviews (4).
  2. Biller J, et al. (1998). Guidelines for carotid endarterectomy: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Circulation, 97(5): 501–509. Also available online: http://circ.ahajournals.org/content/97/5/501.full.
ByHealthwise Staff
Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine
Specialist Medical ReviewerKarin M. Lindholm, DO - Neurology
Last RevisedJanuary 3, 2013

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