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Volume 352:624-627 February 10, 2005 Number 6
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Carotid-Artery Stenting versus Endarterectomy

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by Yadav, J. S.
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To the Editor: To compare protected carotid-artery stenting with carotid endarterectomy, Yadav et al. (Oct. 7 issue)1 chose to study a group for which endarterectomy has been found to be only marginally better than medical therapy.2,3 Although the population was defined as having a high risk on the basis of associated medical conditions, the patients were not at a high risk for stroke on the basis of symptoms and carotid-artery anatomy. More than 70 percent of the patients were asymptomatic, with an estimated carotid-artery stenosis of at least 80 percent of the luminal diameter. For symptomatic patients, a carotid-artery stenosis . . . [Full Text of this Article]



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