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Thursday, July 24, 2014
Surgical Risks in Carotid Stenosis
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.
Jean E Starr, MD
Clinical Associate Professor of Vascular Surgery
College of Medicine
The Ohio State University