Abstract
Carotid artery stenosis is known to be a significant risk factor for stroke and indeed extracranial atheroma is the single most important contributor to non-haemorrhagic stroke in the developed world. Studies such as the European Carotid Surgery Trial (ECST) [63], [11] and North American Symptomatic Carotid Endarterectomy Trial (NASCET) [25], despite some methodological differences, demonstrated a significant benefit for endarterectomy in symptomatic carotid stenosis of more than 70%. More recently, evidence has been published in the form of the Asymptomatic Carotid Surgery Trial (ACST) [34], that intervention in the asymptomatic population with a stenosis of 70% or more may be of benefit providing the associated risks and likely morbidity of the intervention is low.
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Howarth, S.P.S., King-Im, J.U., Gillard, J.H. (2007). Atherosclerotic Plaque Characterisation by Imaging. In: Schaller, B.J. (eds) Imaging of Carotid Artery Stenosis. Springer, Vienna. https://doi.org/10.1007/978-3-211-32509-4_9
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DOI: https://doi.org/10.1007/978-3-211-32509-4_9
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