The advent of noninvasive screening tests has allowed the identification of an increasing number of patients with asymptomatic carotid stenoses. The management of these patients must be individualized, as the preferred method of therapy has not been established. Such a solution ultimately requires a prospective randomized trial to define the natural history of these lesions and to clearly establish if surgical therapy has a role. Currently, there is a Veterans Administration Cooperative Study underway which will attempt to fill the existing information gap. Specifically being examined is the relationship between subsequent cerebrovascular symptoms and the degree of stenosis, progression of stenosis, contralateral disease and noncarotid operation. This study will not be completed for five years, so that other, current guidelines must be sought.
|Number of pages
|Surgery Gynecology and Obstetrics
|Published - 1985
ASJC Scopus subject areas
- Obstetrics and Gynecology