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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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About

SIS Course Directors

Mark Reisman, MD
Director, Cardiovascular Research
Director, Cardiac Catheterization Laboratory
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

 

William A. Gray, MD
Associate Professor of Clinical Medicine
Director of Endovascular Services
Center for Interventional Vascular Therapies
Columbia University
Cardiovascular Research Foundation
New York, New York

 

John J. Young, MD
Medical Director, Academic Affairs
Co-Director, Cardiovascular Research
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

 

Jill Jesurum, Ph.D.
Scientific Director
Cardiovascular Research & Scientific Development
Swedish Heart & Vascular Institute
Swedish Medical Center
Seattle, Washington

SIS Web Editors

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