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Surgery of the Carotid and Vertebral Arteries for the Prevention of Stroke

Lawrence J. Goldstein, MD
Arch Surg. 1996;131(10):1113-1114. doi:10.1001/archsurg.1996.01430220107027.
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Writing a book about the prevention of stroke is a daunting task because so much has been written about the subject and many controversial issues have yet to be settled. Dr Callow rises to the challenge in many areas in this single-author treatise but falls short in others. He starts off with a selective and fascinating history of stroke, and there are 2 outstanding chapters on the relevant neurovascular anatomy of the neck. The exposure of the high internal carotid artery is beautifully illustrated. Novice vascular surgeons can read about what would have taken hundreds of endarterectomies to discover on their own. The subject of carotid trauma was treated well and reflects modern mainstream thinking.

Numerous conflicting studies were mentioned regarding ischemic stroke, but the results and analysis of the recently published Asymptomatic Carotid Atherosclerosis Study and North American Symptomatic Carotid Endarterectomy Trial as well as European and Veterans' Hospital


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