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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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Events

SIS 2010 Cardiology Nurse/Tech Symposium
An Update on Interventional Cardiology and Cardiovascular Surgery
April 22-23, 2010 – Swedish Medical Center/Cherry Hill Campus Auditorium and Seattle Science Foundation BioSkills Lab

SIS 2009 Coronary Artery Disease Symposium
Advances in the Diagnosis and Treatment of Coronary Artery Disease
June 4 and 5, 2009 – Seattle Science Foundation Teleconference Center and BioSkills Lab

 

Swedish Heart and Vascular Institute offers personalized and hands-on training courses in cardiovascular intervention throughout the year.  For more information, please contact Laurie Turay via email at laurie.turay@swedish.org, or call (206) 386-2185.