Keep referring asymptomatic carotid stenosis (>60%) for endarterectomy

In this large trial of 3120 patients with asymptomatic carotid stenosis, they were randomized to immediate CEA or deferral. Peri-operative risk of death/stroke (within 30 days) was 3%, and stroke risk at 5 years was 4% vs 10%, and stroke risk at 10 years was 11% vs 17%. CEA should always be considered in asymptomatic carotid stenosis (abstract)

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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