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Would you perform carotid artery stenting with embolic protection in an 80 year old man with an asymptomatic, 80-99%, unilateral internal carotid artery stenosis?
Always, if the anatomy can be negotiated.
Only in a clinical registry or trial.
Only if transcranial Doppler (TCD) detects cerebral emboli, denoting high risk for adverse neurological events.
Refer for carotid endarterectomy if not surgically high-risk.
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SIS Conference 2007

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The Emerald City offers majestic views of the snow-capped Cascade and Olympic Mountains, with mild July temperatures averaging from 75–80 degrees. Visit the waterfront, catch a ferry or take a whale tour. See the Pike Place Market, an open-air celebration of fresh regional fruits and vegetables, seasonal flowers, herbs, seafood, spices, cheeses, hand-crafted work by artisans, eclectic shops, and fine restaurants and eateries. A highlight of the Pike Place Market is the Pike Place fish market, where world-famous fishmongers have elevated salmon-slinging to new heights.

If a more cultural experience is what you desire, a trip to Seattle offers more opportunities to experience arts and culture than you can probably fit in—but you’ll have fun trying. Seattle’s cultural scene continues to flourish with nationally respected opera, ballet, art galleries, museums, festivals, and theater. The famed Experience Music Project celebrates popular music with a one-of-a-kind mix of interactive exhibits, unique artifacts, and live performances, all in a mind-blowing building designed by Frank Gehry.

No trip is ever complete without a visit to the 607-foot revolving Space Needle, dining at any one of Seattle’s award winning restaurants—or indulging in a latte while visiting the “coffee capital” of the world. For the kids (or the kid in you) there are tons of things to do around the city. Take in a Mariners game in state-of-the-art Safeco field, or visit the Children’s Museum, Woodland Park Zoo, or new Science Fiction Museum at the Seattle Center.

This is a fabulous city with many hidden treasures. Let SIS help you discover the magic of Seattle.


Pacific Northwest

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Majestic, snow-capped mountains, glassy alpine lakes and crystalline streams, vast evergreen forests laced with the scent of pine, ocean waves crashing on rugged, rocky shores—it is impossible not to appreciate the natural beauty of the Pacific Northwest. Favorite destination points include Mount Rainier, which boasts of jaw-dropping views and meadows of wildflowers, the San Juan Islands, a sailor’s paradise and summer home to Orca whales, and Snoqualmie Falls, an imposing
270-foot waterfall.

Board a ferry and explore the islands of Washington. Bike along the rolling island roads, comb the beaches, kayak into secret coves, watch for whales from the bow of a boat, or feast on fresh seafood in a quaint, local restaurant. Take a boat to Blake Island to feed deer from the palm of your hand, savor alder-baked salmon and enjoy a spectacular Native American Stage Performance at Tillicum Village.

Walk in the quiet of an ancient forest draped in greenery in the Olympic National Forest, the largest temperate rainforest of the continent, or peer into tidepools teeming with life along the rocky ocean’s edge. Take the kids on a tram tour through the 435-acre free-roaming area of Northwest Trek Wildlife Park and watch their eyes open wide as they spot animals wandering through forests, wetlands, and meadows. Watch the golden sunset fade into shades of pink at Deception Pass or catch a concert and taste the fruits of the vine while touring local vineyards.

Regardless of the adventure you choose, be prepared to be inspired by the incredible abundance and beauty of the Pacific Northwest.