Carotid endarterectomy for patients with asymptomatic internal carotid artery stenosis. National Institute of Neurological Disorders and Stroke.

Abstract:

:On September 28, 1994, the investigators of the Asymptomatic Carotid Atherosclerosis Study (ACAS) reported the interim results of a randomized controlled clinical trial of carotid endarterectomy in patients who have asymptomatic carotid stenosis of greater than 60% reduction in diameter. In addition to aspirin and aggressive management of modifiable risk factors, one-half of the patients were randomly assigned to receive surgery after angiographic confirmation of the lesion. Carotid endarterectomy is beneficial with a statistically significant absolute reduction of 5.8% in the risk of the primary end point of stroke within 5 years and a relative risk reduction of 55%. As a consequence of the trial reaching statistical significance in favor of endarterectomy, and on the recommendation of the study's data monitoring committee, physicians participating in the study were immediately notified and advised to reevaluate patients who did not receive surgery. It is important to note that the success of the operation is dependent on medical centers and surgeons who have a documented perioperative morbidity and mortality of less than 3%, careful selection of patients, and postoperative management of modifiable risk factors.

journal_name

J Neurol Sci

authors

doi

10.1016/0022-510x(95)00010-y

subject

Has Abstract

pub_date

1995-03-01 00:00:00

pages

76-7

issue

1

eissn

0022-510X

issn

1878-5883

pii

0022510X9500010Y

journal_volume

129

pub_type

临床试验,杂志文章,多中心研究,随机对照试验
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    更新日期:2016-12-15 00:00:00

  • MTAP gene is associated with ischemic stroke in Chinese Hans.

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    doi:10.1016/j.jns.2009.04.013

    authors: Li SJ,Hu WL,Liu DT,Sun FH,Zhang Q,Yang XC,Yu SZ,Jin L,Wang XF

    更新日期:2009-09-15 00:00:00

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    doi:10.1016/0022-510x(80)90123-9

    authors: Sĭrca A,Susec-Michieli M

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    journal_title:Journal of the neurological sciences

    pub_type: 杂志文章

    doi:10.1016/0022-510x(88)90127-x

    authors: Love S

    更新日期:1988-04-01 00:00:00

  • Frontal-lobe syndrome and psychosis after damage to the brainstem dopaminergic nuclei.

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    pub_type: 杂志文章

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    authors: Nishio Y,Ishii K,Kazui H,Hosokai Y,Mori E

    更新日期:2007-09-15 00:00:00

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    doi:10.1016/0022-510x(77)90128-9

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    更新日期:1977-09-01 00:00:00

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    authors: Mori A,Ueno Y,Kuroki T,Hoshino Y,Shimura H,Sekiguchi Y,Noguchi M,Hamada Y,Kusunoki S,Hattori N,Urabe T

    更新日期:2014-02-15 00:00:00

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    pub_type: 杂志文章

    doi:10.1016/s0022-510x(00)00355-5

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    更新日期:2000-08-15 00:00:00

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    更新日期:2013-08-15 00:00:00

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    pub_type: 杂志文章

    doi:10.1016/j.jns.2003.10.020

    authors: Verkkoniemi A,Ylikoski R,Rinne JO,Somer M,Hietaharju A,Erkinjuntti T,Viitanen M,Kalimo H,Haltia M

    更新日期:2004-03-15 00:00:00

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    journal_title:Journal of the neurological sciences

    pub_type: 杂志文章

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    journal_title:Journal of the neurological sciences

    pub_type: 临床试验,杂志文章,多中心研究

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    pub_type: 杂志文章

    doi:10.1016/j.jns.2015.08.1525

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    更新日期:2015-11-15 00:00:00

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    journal_title:Journal of the neurological sciences

    pub_type: 杂志文章

    doi:10.1016/0022-510x(87)90219-x

    authors: Carnwath JW,Shotton DM

    更新日期:1987-08-01 00:00:00

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    pub_type: 临床试验,杂志文章

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    pub_type: 杂志文章,多中心研究

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    doi:10.1016/0022-510x(76)90101-5

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    更新日期:1976-06-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1016/j.jns.2003.08.012

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    journal_title:Journal of the neurological sciences

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    doi:10.1016/0022-510x(90)90262-l

    authors: Rautenberg W,Mess W,Hennerici M

    更新日期:1990-09-01 00:00:00

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    pub_type: 杂志文章,随机对照试验

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