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Research shows that there is no benefit to having
endarterectomy if you have less than 50% stenosis (narrowing) and no symptoms,
such as a previous TIA or mild stroke.footnote 1
People in this group do not benefit from endarterectomy. They actually increase
their risk of stroke or death from surgery because of complications of the
procedure. For people with less than 50% stenosis who do not have symptoms, the
American Heart Association and American Stroke Association recommend treatment with
medicine and lifestyle changes.footnote 2
This group is
already at a lower risk for stroke than those with a higher degree of stenosis. So having surgery would not likely further reduce that risk. It would instead introduce
new risks linked with surgery.
North American Symptomatic Carotid Endarterectomy Trial Collaborators (1991). Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. New England Journal of Medicine, 325(7): 445–453.
Meschia JF, et al. (2014). Guidelines for the primary prevention of stroke: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, published online October 28, 2014. DOI: 10.1161/STR.0000000000000046. Accessed October 29, 2014.
ByHealthwise StaffPrimary Medical ReviewerE. Gregory Thompson, MD - Internal MedicineSpecialist Medical ReviewerKarin M. Lindholm, DO - Neurology
Current as ofFebruary 20, 2015
Current as of:
February 20, 2015
E. Gregory Thompson, MD - Internal Medicine & Karin M. Lindholm, DO - Neurology
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