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Previous Volume 346:1590-1591 May 16, 2002 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In his review of extracranial carotid stenosis (Oct. 11 issue),¹ Sacco recommends medical therapy alone for patients over the age of 79 years who have asymptomatic carotid disease of any severity. The problem is that most, if not all, of the original studies that were used as a foundation for these guidelines arbitrarily excluded patients who were older than 80 years of age. This fact should not be viewed as implying that surgery should never be considered in people over the age of 80 years merely because they are old.

Jeffrey L. Kaufman, M.D.
Vascular Services of . . . [Full Text of this Article]

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