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Comment & Response
April 2014

Uncertainty in Management of Carotid Stenosis in Women

Paola De Rango, MD, PhD1; Virginia J. Howard, MSPH, PhD2; Valeria Caso, MD, PhD3; et al for the writers of the Consensus Document on Women
Author Affiliations
  • 1Vascular and Endovascular Surgery Unit, Santa Maria della Misericordia Hospital, Perugia, Italy
  • 2Department of Epidemiology, School of Public Health, University of Alabama at Birmingham
  • 3Stroke Unit, Santa Maria della Misericordia Hospital, Perugia, Italy
JAMA Surg. 2014;149(4):401-402. doi:10.1001/jamasurg.2013.4864

To the Editor A review of the “management of carotid stenosis in women” has recently been performed by Kuy and collaborators1 with the aim of defining the burden of carotid disease and providing guidelines for the management of carotid stenosis in women. The anticipated increase in the number of strokes in women underscores the importance of this topic.2 However, the available data on the management of carotid stenosis in women are only partly covered in their review.1 Most notably, evidence from randomized clinical trials that were completed in the last 5 years is not included. In addition, data regarding carotid stenting (CAS) in women are scarcely reported. As 3 of the 9 authors of a recent consensus document on the management of carotid stenosis in women,3 we recently summarized the literature on the same topic.

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