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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.



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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