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Previous Volume 337:427-428 August 7, 1997 Number 6 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: I was disappointed by "A Common Clinical Conundrum" (April 3 issue).¹ This Clinical Problem-Solving article discussed a procedure — extracranial carotid-artery stenting — that is experimental, has not been validated by published multicenter trials, and is not widely available in community hospitals. In their discussion of success rates, complications, and long-term patency, the authors do not cite any article in a peer-reviewed journal to support their claims, only sketchy abstracts presented at a scientific meeting.^2,3 They cite no study to prove cost effectiveness, referring only to their own unpublished "preliminary" work. The inclusion of carotid stenting in . . . [Full Text of this Article]

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