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Would you perform carotid artery stenting with embolic protection in an 80 year old man with an asymptomatic, 80-99%, unilateral internal carotid artery stenosis?
Always, if the anatomy can be negotiated.
Only in a clinical registry or trial.
Only if transcranial Doppler (TCD) detects cerebral emboli, denoting high risk for adverse neurological events.
Never.
Refer for carotid endarterectomy if not surgically high-risk.
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SIS Conference 2008

SIS 2008 Supporters

SIS is grateful to all past supporters and looks forward to continued collaboration in making SIS the premier educational course in cardiac, vascular and neurovascular therapeutics on the West Coast.

Abbott Vascular Devices
Boston Scientific Corporation
Cordis, a Johnson & Johnson Company

AGA Medical Corporation
AstraZeneca
Biosense Webster
Bristol-Myers Squibb Company
Daiichi Sankyo, Inc./Lilly
FlowCardia, Inc.
Medtronic, Inc.
The Medicines Company
W.L. Gore & Associates, Inc.

ACIST Medical Systems
Bard & Associates
Cook Medical
Concentric Medical
Eisai, Inc.
Ev3, Inc.
Guerbert, LLC
Novartis Pharmaceuticals, Inc.
RADI Medical Systems, Inc.
St. Jude Medical – Angio-Seal
TeraRecon, Inc.
Vital Images
Volcano Corporation