Efficacy of Carotid Endarterectomy for Asymptomatic Carotid Stenosis

New England Journal of Medicine

Volumn 328, Issue 4, 1993, Pages 221-227

  Hobson, Robert W ^a   Weiss, David G ^a   Fields, William S ^a   Goldstone, Jerry ^a   Moore, Wesley S ^a   Towne, Jonathan B ^a   Wright, Creighton B ^a  

^a VA Cooperative Studies Coordinating Center   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACETYLSALICYLIC ACID;

ADULT; AGED; ARTERIOGRAPHY; ARTICLE; CAROTID ARTERY OBSTRUCTION; CAROTID ENDARTERECTOMY; HUMAN; INCIDENCE; MAJOR CLINICAL STUDY; MALE; MONOCULAR VISION; NEUROLOGIC DISEASE; PATIENT SELECTION; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RISK ASSESSMENT; STROKE; SURGICAL APPROACH; TRANSIENT ISCHEMIC ATTACK; TRANSITIONAL BLINDNESS;

ADULT; ASPIRIN; BLINDNESS; CAROTID ARTERIES; CAROTID STENOSIS; CEREBROVASCULAR DISORDERS; COMPARATIVE STUDY; ENDARTERECTOMY, CAROTID; FOLLOW-UP STUDIES; HUMAN; INCIDENCE; ISCHEMIC ATTACK, TRANSIENT; MALE; MIDDLE AGE; RISK FACTORS; SUPPORT, U.S. GOV'T, NON-P.H.S.;

EID: 0027441425     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJM199301283280401     Document Type: Article

References (31)

1. North American Symptomatic Carotid Endarterectomy Trial Collaborators. Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. N Engl J Med 1991; 325:445-453
2. European Carotid Surgery Trialists' Collaborative Group. MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70-99%) or with mild (0-29%) carotid stenosis. Lancet 1991; 337:1235-1243
3. Mayberg MR, Wilson SE, Yatsu F, Carotid endarterectomy and prevention of cerebral ischemia in symptomatic carotid stenosis. JAMA 1991; 266:3289-3294
4. Role of carotid endarterectomy in asymptomatic carotid stenosis: a Veterans Administration Cooperative Study. Stroke 1986; 17:534-539
5. Gee W, Mehigan JT, Wylie EJ Measurement of collateral cerebral hemispheric blood pressure by ocular pneumoplethysmography. Am J Surg 1975; 130:121-127
6. Blackshear WM Jr, Phillips DJ, Thiele BL, Detection of carotid occlusive disease by ultrasonic imaging and pulsed Doppler spectrum analysis. Surgery 1979; 86:698-706
7. A classification and outline of cerebrovascular diseases II. Stroke 1975; 6:564-616
8. Pocock SJ. Clinical trials: a practical approach. New York: John Wiley, 1983.
9. Chikos PM, Fisher LD, Hirsch JH, Harley TD, Thiele BL, Strandness DE Jr Observer variability in evaluating extracranial carotid artery stenosis. Stroke 1983; 14:885-892
10. Towne JB, Weiss DG, Hobson RW II First phase report of cooperative Veterans Administration asymptomatic carotid stenosis study – operative morbidity and mortality. J Vasc Surg 1990; 11:252-259
11. The EC/IC Bypass Study Group. Failure of extracranial-intracranial arterial bypass to reduce the risk of ischemic stroke: results of an international randomized trial. N Engl J Med 1985; 313:1191-1200
12. The Asymptomatic Carotid Atherosclerosis Study Group. Study design for randomized prospective trial of carotid endarterectomy for asymptomatic atherosclerosis. Stroke 1989; 20:844-849
13. Toole JF The Willis lecture: transient ischemic attacks, scientific method, and new realities. Stroke 1991; 22:99-104
14. Perrone P, Candelise L, Scotti G, De Grandi C, Scialfa G CT evaluation in patients with transient ischemic attack: correlation between clinical and angiographic findings. Eur Neurol 1979; 18:217-221
15. Awad I, Modic M, Little JR, Furlan AJ, Weinstein M Focal parenchymal lesions in transient ischemic attacks: correlation of computed tomography and magnetic resonance imaging. Stroke 1986; 17:399-403
16. Barnett HJM, Plum F, Walton JN Carotid endarterectomy – an expression of concern. Stroke 1984; 15:941-943
17. Callow AD, Caplan LR, Correll JW, Carotid endarterectomy: what is its current status? Am J Med 1988; 85:835-838
18. Javid H, Ostermiller WE, Hengesh JW, Carotid endarterectomy for asymptomatic patients. Arch Surg 1971; 102:389-391
19. Thompson JE, Patman RD, Talkington CM Asymptomatic carotid bruit: long term outcome of patients having endarterectomy compared with unoperated controls. Ann Surg 1978; 188:308-316
20. Wylie EJ. Is an asymptomatic carotid stenosis a surgical lesion? In: Courbier R, Jausseran JM, Reggi M, eds. Arteriopathies cerebrales extra-craniennes asymptomatiques. Lyon, France: Medicale Observal, 1980:231-40.
21. Moore DJ, Miles RD, Gooley NA, Sumner DS Noninvasive assessment of stroke risk in asymptomatic and nonhemispheric patients with suspected carotid disease: five-year follow-up of 294 unoperated and 81 operated patients. Ann Surg 1985; 202:491-504
22. Treiman RL, Cossman DV, Foran RF, Levin PM, Cohen JL The risk of carotid endarterectomy for the asymptomatic patient: an argument for prophylactic operation. Ann Vasc Surg 1990; 4:29-33
23. Anderson RJ, Hobson RW II, Padberg FT Jr, Carotid endarterectomy for asymptomatic carotid stenosis: a ten-year experience with 120 procedures in a fellowship training program. Ann Vasc Surg 1991; 5:111-115
24. Brott T, Thalinger K The practice of carotid endarterectomy in a large metropolitan area. Stroke 1984; 15:950-955
25. Easton JD, Sherman DG Stroke and mortality rate in carotid endarterectomy: 228 consecutive operations. Stroke 1977; 8:565-568
26. Chambers BR, Norris JW The case against surgery for asymptomatic carotid stenosis. Stroke 1984; 15:964-967
27. Chambers BR, Norris JW Outcome in patients with asymptomatic neck bruits. N Engl J Med 1986; 315:860-865
28. Cullen SJ, Correa MC, Calderon-Ortiz M, Walburn FJ, Raines J Clinical sequelae in patients with asymptomatic carotid bruits. Circulation 1983; 68: Suppl II: II-83
29. Busuttil RW, Baker JD, Davidson RK, Machleder HI Carotid artery stenosis – hemodynamic significance and clinical course. JAMA 1981; 245:1438-1441
30. Roederer GO, Langlois YE, Jager KA, The natural history of carotid arterial disease in asymptomatic patients with cervical bruits. Stroke 1984; 15:605-613
31. The CASANOVA Study Group. Carotid surgery versus medical therapy in asymptomatic carotid stenosis. Stroke 1991; 22:1229-1235