Vascular Surgery |
Surgical Risks in Carotid Stenosis03/04/2010 |
What are the risk numbers for a stroke with a 50% and 69% carotid blockage, if one follows a protocol of aspirin, statins (medication) and diet versus a vascular surgical intervention in a 60 year old woman? Her father had many TIA incidents. Incidentally, her echo stress test was normal.
If she is asymptomatic, then the risk of stroke is lower with medical than with surgical (or endovascular) intervention, and would NOT be recommended. She should be followed every 6 mos. with a carotid duplex.
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Jean E Starr, MD Clinical Associate Professor of Vascular Surgery College of Medicine The Ohio State University |