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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 2009 Symposia

SIS 2009 Seventh Annual Cardiology Nurse/Tech Symposium

Supporters

This course is supported in part by educational grants and exhibit fees in accordance with ACCME standards.  At the time of this printing a complete list of commercial supporters was not available.  Appropriate acknowledgement will be given to all supporters at the time of the course.

Cordis, a Johnson & Johnson Company
Atricure, Inc.
Bristol-Myers Squibb Company/Sanofi Aventis
Medtronic CardioVascular, Inc.
Merck & Co., Inc.
Schering-Plough, Inc.
St. Jude Medical

Abiomed, Inc.
AstraZeneca, Inc.
Biosense Webster, Inc.
Boston Scientific Corporation
Edwards Lifesciences, Inc.
Novartis Pharmaceuticals, Inc.
The Medicines Company
W.L. Gore & Associates, Inc.