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Letter to the Editor

Letter to the Editor With clinical governance requirements for ‘‘best prac- Correspondence tice,’’ it would seem that generic guidelines for the management of these patients should be agreed on and disseminated, based on a thorough analysis of all avail- able trial data. Further investigation, we feel, is needed to assess the view of the vascular surgical world to these To the Editor: findings. Stenosis at the internal carotid artery origin, resulting DOI: 10.1007/s10016-003-0049-3 from a locally developing atherosclerotic plaque, is as- Published online: 21 August 2003 sociated with an increased incidence of stroke. Despite the best medical treatment, including antiplatelet thera- py and control of risk factors such as hypertension and WH Chan, MBBS diabetes, some 200 strokes still occur every 100,000 of Department of Surgery the population, per annum, in the UK and the USA. A Chase Farm General Hospital number of randomized, controlled trials have clearly es- Enfield, EN2 8JL UK tablished carotid endarterectomy (CEA) as the treatment of choice for patients with a symptomatic carotid stenosis M Dialynas, FRCS 2,3 >70%. However, for those patients with asymptomatic SGE Barker, MBBS BSc MS FRCS carotid disease there still appears to be conflicting opin- Academic Vascular Unit ion concerning optimal treatment. Despite http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Letter to the Editor

Chan, WH; Dialynas, M; Barker, SGE
Annals of Vascular Surgery , Volume 17 (5) – Aug 21, 2003
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References (5)

Publisher
Springer Journals
Copyright
Copyright © 2003 by Springer-Verlag
Subject
Philosophy
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s10016-003-0049-3
Publisher site
See Article on Publisher Site

Abstract

With clinical governance requirements for ‘‘best prac- Correspondence tice,’’ it would seem that generic guidelines for the management of these patients should be agreed on and disseminated, based on a thorough analysis of all avail- able trial data. Further investigation, we feel, is needed to assess the view of the vascular surgical world to these To the Editor: findings. Stenosis at the internal carotid artery origin, resulting DOI: 10.1007/s10016-003-0049-3 from a locally developing atherosclerotic plaque, is as- Published online: 21 August 2003 sociated with an increased incidence of stroke. Despite the best medical treatment, including antiplatelet thera- py and control of risk factors such as hypertension and WH Chan, MBBS diabetes, some 200 strokes still occur every 100,000 of Department of Surgery the population, per annum, in the UK and the USA. A Chase Farm General Hospital number of randomized, controlled trials have clearly es- Enfield, EN2 8JL UK tablished carotid endarterectomy (CEA) as the treatment of choice for patients with a symptomatic carotid stenosis M Dialynas, FRCS 2,3 >70%. However, for those patients with asymptomatic SGE Barker, MBBS BSc MS FRCS carotid disease there still appears to be conflicting opin- Academic Vascular Unit ion concerning optimal treatment. Despite

Journal

Annals of Vascular Surgery – Springer Journals

Published: Aug 21, 2003

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