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Controversies in Neurology
July 1999

Is Carotid Endarterectomy Appropriate for Asymptomatic Stenosis?No

Author Affiliations

From the Department of Neurology, Wayne State University–Detroit Medical Center, Detroit, Mich.

 

VLADIMIRHACHINSKIMD, FRCPC, DSc

Arch Neurol. 1999;56(7):879-881. doi:10.1001/archneur.56.7.879

AT PRESENT, rates of carotid endarterectomy (CE) are skyrocketing in the United States. A recent study found a 68% increase in the volume of CEs performed in Florida in the years 1995 and 1996, compared with the previous 3 years.1In the most rapidly growing segment of the population, the elderly, the rate of increase (92%) was even more staggering. This increase in surgical volume was accompanied by a $56 million increase in health care expenditures, which occurred in 1 state in only 1 year. A similar increase in the volume of CEs (43.4%) was also noted in Veterans Affairs hospitals in the United States for fiscal year 1995.2

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