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Research shows that endarterectomy is not more effective
than treatment with medicine for people who have symptoms, such as a previous
TIA or mild stroke, but less than 50% stenosis (narrowing).footnote 1
In some cases surgery may be harmful. The procedure itself may result in more
problems than benefits.
The American Heart Association and American Stroke Association recommend
that these people continue treatment with medicine and healthy lifestyle changes.footnote 2
Rerkasem K, Rothwell PM (2011). Carotid endarterectomy for symptomatic carotid stenosis. Cochrane Database of Systematic Reviews (4).
Kernan WN, et al. (2014). Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 45(7): 2160–2236. DOI: 10.1161/STR.0000000000000024. Accessed July 22, 2014.
ByHealthwise StaffPrimary Medical ReviewerE. Gregory Thompson, MD - Internal MedicineMartin J. Gabica, MD - Family MedicineSpecialist Medical ReviewerRobert A. Kloner, MD, PhD - Cardiology
Current as ofJune 30, 2016
Current as of:
June 30, 2016
E. Gregory Thompson, MD - Internal Medicine & Martin J. Gabica, MD - Family Medicine & Robert A. Kloner, MD, PhD - Cardiology
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