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Carotid Artery Stenosis
- common cause of stroke
- if motor and sensory involved
- (dizziness and global impairment implies basilar artery disease)
Treatment
- stabilisation of hyperlipidaemia
- carotid endarterectomy
- if symptomatic
- and stenosis >60-70%
- stroke risk 2%
- death 1%
- protected coronary stent angioplasty
- ectasia
- dilated and stretched artery (???)
Prognosis
- best medical management
- 26% have stroke in 2 years
- best medical + surgery
- 9% have stroke in 2 years
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