Recently published guidelines recommend that carotid surgery, when appropriate, is performed within two weeks after a transient ischemic attack or a minor stroke. This represents a marked change in comparison with earlier practice, where surgery was delayed, often for months. There is reason to go further than the current guidelines and perform the operation within hours. This suggestion is discussed in relation to the principles of evidence based medicine.
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Univ Pittsburgh, Dept Neurol Surg, Pittsburgh, PA USA
Univ Pittsburgh, Dept Neurol, Med Ctr, Pittsburgh, PA USAUniv Pittsburgh, Sch Med, Pittsburgh, PA USA
Shandal, Varun
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Anetakis, Katherine
Paras, Stephanie
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Univ Pittsburgh, Dept Neurol Surg, Pittsburgh, PA USAUniv Pittsburgh, Sch Med, Pittsburgh, PA USA
Paras, Stephanie
Mina, Amir
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Univ Pittsburgh, Dept Biomed Informat, Pittsburgh, PA USAUniv Pittsburgh, Sch Med, Pittsburgh, PA USA
Mina, Amir
Crammond, Donald
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Univ Pittsburgh, Dept Neurol Surg, Pittsburgh, PA USA
Univ Pittsburgh, Dept Neurol, Med Ctr, Pittsburgh, PA USAUniv Pittsburgh, Sch Med, Pittsburgh, PA USA
Crammond, Donald
Balzer, Jeffrey
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Univ Pittsburgh, Dept Neurol Surg, Pittsburgh, PA USAUniv Pittsburgh, Sch Med, Pittsburgh, PA USA
Balzer, Jeffrey
Thirumala, Parthasarathy D.
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Univ Pittsburgh, Dept Neurol Surg, Pittsburgh, PA USA
Univ Pittsburgh, Dept Neurol, Med Ctr, Pittsburgh, PA USA
Ctr Clin Neurophysiol, Dept Neurol Surg, UPMC Presbyterian Suite B-400,200 Lothrop St, Pittsburgh, PA 15213 USAUniv Pittsburgh, Sch Med, Pittsburgh, PA USA
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Univ Helsinki, Cent Hosp, Dept Neurol, Res Programs Unit, Helsinki 00029, FinlandUniv Helsinki, Cent Hosp, Dept Neurol, Res Programs Unit, Helsinki 00029, Finland
Lindsberg, Perttu J.
Tuomi, Tiinamaija
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Univ Helsinki, Cent Hosp, Dept Med Diabetol, Helsinki 00029, FinlandUniv Helsinki, Cent Hosp, Dept Neurol, Res Programs Unit, Helsinki 00029, Finland
Tuomi, Tiinamaija
Kaste, Markku
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机构:Univ Helsinki, Cent Hosp, Dept Neurol, Res Programs Unit, Helsinki 00029, Finland