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Kaplan Qbank USMLE



Author2 Posts
  #1

conflicts on certain topics are ever green. here im gonna post some of the info i tot wud summarise recent trends. i have tried to take info from guidelines..rather than individual fancy articles..

here goes the first one

carotid end arterectomy

http://neurology.jwatch.org/cgi/content/full/2005...
Updated AAN Recommendations on Carotid Endarterectomy ( around 2004-5 i think)
  • The group concludes that CE is clearly effective for patients with symptomatic 70% to 99% carotid stenosis
  • but should not be considered for patients with <50% stenosis.
  • For patients with symptomatic 50% to 69% stenosis, the decision to perform CE should be individualized, based on clinical and angiographic variables; for example, it is unclear whether women with symptomatic 50% to 69% stenosis benefit from CE. T
  • he group recommends that patients aged 40 to 75 with asymptomatic 60% to 99% stenosis be considered for CE if they are relatively healthy and if the combined perioperative risk for stroke or death is below 3%.




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  #2

studies still ongoing too. carotid endarectomy vs. something else.







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