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=== 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease<ref name=":2" /> === | === 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease<ref name=":2" /> === | ||
* Selection of asymptomatic patients for carotid revascularization should be guided | * Selection of asymptomatic patients for carotid revascularization should be guided by an assessment of comorbid conditions, life expectancy, and other individual factors and should include a thorough discussion of the risks and benefits of the procedure with an understanding of patient preferences. (Class I; ''Level of Evidence: C'') | ||
individual factors and should include a thorough discussion of the risks and benefits of the procedure with an understanding of patient preferences. (Class I; ''Level of Evidence: C'') | |||
* It is reasonable to perform CEA in asymptomatic patients who have more than 70% stenosis of the internal carotid artery if the risk of perioperative stroke, MI, and death is low. (Class IIa; ''Level of Evidence: A'') | * It is reasonable to perform CEA in asymptomatic patients who have more than 70% stenosis of the internal carotid artery if the risk of perioperative stroke, MI, and death is low. (Class IIa; ''Level of Evidence: A'') | ||
* In symptomatic or asymptomatic patients at high risk of complications for | * In symptomatic or asymptomatic patients at high risk of complications for |
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