Letters Carotid artery stenosis

Is surgery ever justified?

BMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c1465 (Published 16 March 2010) Cite this as: BMJ 2010;340:c1465
  1. Mark G Cowling, consultant interventional radiologist
  1. 1University Hospital of North Staffordshire, Stoke on Trent ST4 6QG
  1. mark.cowling{at}uhns.nhs.uk

    Halliday and Norris rightly state that the available evidence suggests that, except in the most experienced of hands, carotid artery stenting is inferior to carotid endarterectomy.1 However, nobody in the field seems to acknowledge that the evidence in favour of surgery over best medical …

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