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Clinical Decisions
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Volume 358:e23 May 15, 2008 Number 20
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Management of Carotid Stenosis — Polling Results
Autumn Klein, M.D., Ph.D., Caren G. Solomon, M.D., M.P.H., and Mary Beth Hamel, M.D., M.P.H.

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In early April, we presented the case of a 67-year-old man with asymptomatic carotid disease in Clinical Decisions,1 an interactive feature designed to assess how readers would manage a clinical problem for which there may be more than one appropriate treatment. The patient was a nonsmoker with a history of hypertension and hyperlipidemia who was noted to have a carotid bruit on routine examination. He was also found to have a stenosis of 70 to 80% of the right internal carotid artery with an irregular plaque and an elevated peak velocity. The left internal carotid artery showed a 20% stenosis.

. . . [Full Text of this Article]

Medical Management

Carotid Endarterectomy

Carotid Stenting

Summary



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