Carotid endarterectomyBMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6992.1471 (Published 03 June 1995) Cite this as: BMJ 1995;310:1471
- Mark Lambert
- 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, …