Carotid EndarterectomyComparison to Medical Therapy
NASCET
- Endarterectomy was superior to medical management for symptomatic patients with carotid stenosis > 70%
- At 24 months, risk of ipsilateral stroke was 9 vs 26%
- Perioperative Risk of Stroke/Death with Endarterectomy = 5.8%
- Up to 18% in High Risk Patients
ACAS
- Reduction in the incidence of stroke after endarterectomy in asymptomatic patients with stenosis > 60%