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October 4, 1985

Diagnosis and Treatment of Carotid Artery Disease: With Special Emphasis on Noninvasive Diagnosis and Surgical Technique

Author Affiliations

State University of New York

JAMA. 1985;254(13):1830. doi:10.1001/jama.1985.03360130166055

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Carotid bifurcation endarterectomy is currently the single most common vascular reconstruction performed in the United States. The second edition of this monograph is a timely summary of the subject. The book is clearly written and easily read. The management approaches advocated are well balanced and documented. This is an excellent book for both the surgical resident and the vascular surgeon.

The pathophysiology of extracranial disease as well as the clinical evaluation of the patient are nicely summarized. Noninvasive laboratory evaluation has been brought up-to-date with the addition of a discussion of real time B-mode imaging of the carotid artery combined with Doppler spectrum analysis of the flow signal in the carotid arteries (duplex scanning). The authors emphasize that noninvasive testing is most useful in patients without symptoms or with obscure symptoms since classic ischemic symptoms usually indicate arteriography. They also emphasize that the role of the laboratory in the asymptomatic