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Correspondence
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Volume 343:1420-1421 November 9, 2000 Number 19
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Stroke in Patients with Asymptomatic Internal-Carotid-Artery Stenosis

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 by Inzitari, D.
To the Editor: Two recent publications based on post hoc analyses of data from the North American Symptomatic Carotid Endarterectomy Trial (NASCET) make a similar, albeit important, point: patients with carotid-artery stenosis should be carefully and prospectively evaluated for other remediable causes of stroke.1,2 However, the suggestion in the report by Inzitari et al. (June 8 issue)1 that "endarterectomy may not be justified for most patients with asymptomatic carotid-artery stenosis" is not warranted on the basis of these analyses, for the following reasons.

First, the report by Inzitari et al. presents an analysis of data from an essentially uncontrolled case . . . [Full Text of this Article]

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