You admit a 65 year old man with a stroke. On examination you find that he has m

Question

You admit a 65 year old man with a stroke. On examination you find that he has mild weakness of the right arm and right leg and bilateral carotid bruits. You send the patient for carotid doppler ultrasonography and subsequently receive the report that he has moderate stenosis (50-69% by NASCET criteria) of the ipsilateral carotid artery. You've noticed in the pile of journals that is accumulating in your office that there has been some recent literature addressing surgical versus medical therapy for patients with symptomatic carotid stenosis, but you are unsure what the results of these studies indicate.

Think about this scenario and about what questions arise from it.

P

I

C

O

T

Explanation / Answer

For 65 years elderly patient (P) how does the use of surgical therapy (I) compared to medical therapy (C) helps in overcoming carotid stenosis (O) after surgical intervention (T).

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