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Indications for Carotid Endarterectomy

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All previous CEAP statements and a subscription to future reports are now available in Clinical Efficacy Reports. This paper represents the third to be distributed in the 1989/1990 subscription series.

Requests for Reprints: Linda Johnson White, Director, Department of Scientific Policy, American College of Physicians, Independence Mall West, Sixth Street at Race, Philadelphia, PA 19106-1572.

©1989 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1989;111(8):675-677. doi:10.7326/0003-4819-111-8-675
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This Clinical Efficacy Assessment Project report summarizes the published evidence and expert opinion related to using carotid endarterectomy for patients with symptomatic and asymptomatic cerebrovascular disease. As an indication of the importance of this topic, and attesting to the paucity of quality data on which to base clinical policy, three clinical trials of endarterectomy and medical therapy have been initiated recently by the National Institutes of Health. One trial is examining the efficacy of endarterectomy in patients with symptomatic cerebrovascular disease (transient ischemia in the carotid artery distribution or minor stroke). The other two trials are examining the efficacy of


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