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Invited Commentary
January 9, 2019

Appropriateness of Carotid Endarterectomy in Asymptomatic Carotid Disease—Predicting 5-Year Survival

Author Affiliations
  • 1Division of Vascular Surgery, Stanford University School of Medicine, Stanford, California
  • 2Section of Vascular Surgery, Surgical Service Line, VA Palo Alto Health Care System, Palo Alto, California
JAMA Surg. Published online January 9, 2019. doi:10.1001/jamasurg.2018.5126

Guidelines from the Society for Vascular Surgery1 and the American Heart Association/American Stroke Asssociation2 recommend carotid endarterectomy (CEA) for asymptomatic carotid artery stenosis if a patient’s minimum life expectancy is 3 to 5 years. An estimated 20% of CEAs for asymptomatic carotid stenosis are performed in patients with life-limiting conditions.3 Given the rapidly aging surgical patient population in the United States, it is imperative that surgeons have the tools to adequately identify patients who will benefit from surgery.

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