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This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presented. The article ends with the authors' clinical recommendations.
A 72-year-old man who was a previous smoker had had transient ischemic attacks that were successfully managed with the use of carotid endarterectomy. Since about 10% of patients with cerebral arterial disease have occult abdominal aortic aneurysms,1 abdominal ultrasonography
The Clinical Problem
Pathophysiology and Effect of Therapy
Clinical Evidence
Clinical Use
Adverse Effects
Areas of Uncertainty
Guidelines
Recommendations
Source Information
From Imperial College London Vascular Surgery Research Group, London.
Address reprint requests to Dr. Greenhalgh at the Vascular Surgery Research Group, Imperial College London, Charing Cross Hospital, Fulham Palace Rd., London W6 8RF, United Kingdom, or at r.greenhalgh@imperial.ac.uk.
This article has been cited by other articles:
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