TY  - JOUR
T1  - Asymptomatic carotid stenosis: Criterion standard should be medical therapy
AU  - Spence J
Y1  - 2009/04/01
N1  - 10.1001/archsurg.2009.16
JO  - Archives of Surgery
SP  - 382
EP  - 383
VL  - 144
IS  - 4
N2  - 
We reported in 20054 that transcranial Doppler embolus detection was extremely effective at identifying which patients with asymptomatic carotid stenosis may benefit from revascularization. Only 10% of our patients had microemboli, and their 1-year risk of stroke was 15.6%, so they would probably benefit from revascularization. However, the 90% of patients with asymptomatic carotid stenosis without microemboli had only a 1% risk of stroke, with a very tight 95% confidence interval: 1.01% to 1.36%. They cannot benefit unless the procedure can be done with a risk of less than 1%.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.2009.16
UR  - http://dx.doi.org/10.1001/archsurg.2009.16
ER  -