The use of carotid endarterectomy is on the rise again. Aftera six-year decline, the number of such operations rose by 94percent between 1991 and 1996. As shown in Figure 1, however,this has happened before: between 1980 and 1985, the incidencerose by 95 percent. The initial enthusiasm for the procedurewas dampened by reports of high complication rates, questionsabout the appropriateness of patients selected to undergo theprocedure, and the absence of rigorous clinical studies demonstratingthe efficacy of the operation. What followed was a remarkablefeat in research. A series of large and complex . . . [Full Text of this Article]
References
Related Letters:
Carotid Endarterectomy
Goldstein L. B., Saver J. L., Elkins J. S., Shekelle P. G., Park R.E., Chassin M. R., Haynes R. B., Barnett H. J.M., Taylor D. W., Tu J. V.
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Full Text
N Engl J Med 1999;
340:1209-1212, Apr 15, 1999.
Correspondence
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