Letters

Carotid endarterectomy

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6992.1471 (Published 03 June 1995) Cite this as: BMJ 1995;310:1471

Author's reply

  1. Mark Lambert
  1. Senior registrar in public health medicine Nuffield Institute for Health, Leeds L52 9PL

    EDITOR,—Many of those who commented in the debate on carotid endarterectomy suggested that the use of non-invasive tests for carotid stenosis can transform the balance of risks and benefits to patients of a service for carotid endarterectomy.1 2 This may overstate the case.

    These tests should firstly be exposed to a more comprehensive formal evaluation; it should not stop at small case series assessing only accuracy, as this represents an inadequate assessment of these technologies. The acceptability, …

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