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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.
Never.
Refer for carotid endarterectomy if not surgically high-risk.
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SIS 2011 Symposia

Supporters

This symposium is financially supported in part by educational grants in accordance with ACCME's Standards for Commercial Support. SIS is grateful to all past supporters and looks forward to continued collaboration in making SIS the premier educational course in cardiac, vascular, and neurovascular therapeutics on the West Coast. Appropriate acknowledgement will be given to all supporters on this web site and at the time of the Symposium.

 

SIS in Action

Dr. Mark Reisman guiding registered nurses and cath lab technicians in a pig heart dissection.