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M. Ashraf Mansour, MD
Grand Rapids, Mich

Arch Surg. 2002;137:1288.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

That CEA is superior to medical therapy alone in the treatment of symptomatic and asymptomatic patients with severe carotid artery stenosis is well supported in the literature. The European Carotid Surgery Trial¹ and the North American Symptomatic Carotid Endarterectomy Trial² demonstrated the beneficial effects of surgical over medical treatment in patients with symptomatic carotid artery stenosis of more than 70%, and the Asymptomatic Carotid Atherosclerosis Study³ reached the same conclusion in patients with asymptomatic stenosis of more than 60%. Closer scrutiny of the data revealed a greater benefit in men vs women, younger vs older patients, and in patients with the worst vs least stenosis.⁴ None of these level 1 studies included octogenarians. Furthermore, hospitals and surgeons participating in the trials were carefully selected by the study organizers to include only centers of excellence. Thus, it is appropriate to examine the outcome of CEA performed in . . . [Full Text of this Article]

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