Should be offered to appropriately selected patients

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6987.1136 (Published 29 April 1995) Cite this as: BMJ 1995;310:1136
  1. Peter Humphrey,
  2. Peter Enevoldson,
  3. Gavin Young,
  4. Peter Harris
  1. Consultant neurologist Consultant neurologist Lecturer in neurology
  2. Consultant vascular surgeon Royal Liverpool University Hospital, Liverpool L9 1AE

    EDITOR,—Roger N Baird and Mark Lambert debate whether carotid endarterectomy should be purchased.1 There is no doubt that carotid endarterectomy works.2 Starting another trial in symptomatic patients with tight stenoses would be unethical as the two large trials in Europe and North America have proved beyond doubt that this operation is highly successful.3 It is medically indefensible not to offer this operation to appropriate patients; if these patients are denied surgery then before long they will seek compensation in the courts and …

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