The Causes and Risk of Stroke in Patients with Asymptomatic Internal-Carotid-Artery Stenosis
Whether to perform carotid endarterectomy in asymptomatic patients is an important public health issue. On the basis of Medicare records, the number of carotid endarterectomies in the United States rose from 46,571 in 1989 to 108,275 in 1996. 1 The National Hospital Discharge Survey estimated that 1...
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Veröffentlicht in: | The New England journal of medicine 2000-06, Vol.342 (23), p.1693-1701 |
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container_title | The New England journal of medicine |
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creator | Inzitari, Domenico Eliasziw, Michael Gates, Peter Sharpe, Brenda L Chan, Richard K.T Meldrum, Heather E Barnett, Henry J.M |
description | Whether to perform carotid endarterectomy in asymptomatic patients is an important public health issue. On the basis of Medicare records, the number of carotid endarterectomies in the United States rose from 46,571 in 1989 to 108,275 in 1996.
1
The National Hospital Discharge Survey estimated that 144,000 endarterectomy procedures were performed in 1997 (Pokras R: personal communication). Half of the procedures are performed in asymptomatic patients.
2
Two million people in the United States who are over the age of 50 years are estimated to have asymptomatic carotid-artery stenosis of at least 50 percent of the luminal diameter.
3
Uncertainty about the ideal . . . |
doi_str_mv | 10.1056/NEJM200006083422302 |
format | Article |
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1
The National Hospital Discharge Survey estimated that 144,000 endarterectomy procedures were performed in 1997 (Pokras R: personal communication). Half of the procedures are performed in asymptomatic patients.
2
Two million people in the United States who are over the age of 50 years are estimated to have asymptomatic carotid-artery stenosis of at least 50 percent of the luminal diameter.
3
Uncertainty about the ideal . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM200006083422302</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston: Massachusetts Medical Society</publisher><subject>Cardiovascular disease ; Medical imaging ; Stroke ; Veins & arteries</subject><ispartof>The New England journal of medicine, 2000-06, Vol.342 (23), p.1693-1701</ispartof><rights>Copyright © 2000 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-8490ac0e7826baaa126b40a5ec49e197f779bb6da9637c2683e0e4f5ff8127de3</citedby><cites>FETCH-LOGICAL-c446t-8490ac0e7826baaa126b40a5ec49e197f779bb6da9637c2683e0e4f5ff8127de3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM200006083422302$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM200006083422302$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids></links><search><creatorcontrib>Inzitari, Domenico</creatorcontrib><creatorcontrib>Eliasziw, Michael</creatorcontrib><creatorcontrib>Gates, Peter</creatorcontrib><creatorcontrib>Sharpe, Brenda L</creatorcontrib><creatorcontrib>Chan, Richard K.T</creatorcontrib><creatorcontrib>Meldrum, Heather E</creatorcontrib><creatorcontrib>Barnett, Henry J.M</creatorcontrib><title>The Causes and Risk of Stroke in Patients with Asymptomatic Internal-Carotid-Artery Stenosis</title><title>The New England journal of medicine</title><description>Whether to perform carotid endarterectomy in asymptomatic patients is an important public health issue. On the basis of Medicare records, the number of carotid endarterectomies in the United States rose from 46,571 in 1989 to 108,275 in 1996.
1
The National Hospital Discharge Survey estimated that 144,000 endarterectomy procedures were performed in 1997 (Pokras R: personal communication). Half of the procedures are performed in asymptomatic patients.
2
Two million people in the United States who are over the age of 50 years are estimated to have asymptomatic carotid-artery stenosis of at least 50 percent of the luminal diameter.
3
Uncertainty about the ideal . . .</description><subject>Cardiovascular disease</subject><subject>Medical imaging</subject><subject>Stroke</subject><subject>Veins & arteries</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kEtLAzEUhYMoWKu_wE1wK6N5TTJZlqFqpT7QuhOGdOaGTtuZ1CRF-u9NqUvxbg4cvnO4HIQuKbmhJJe3z-PHJ0bSSVJwwRgn7AgNaM55JgSRx2hACCsyoTQ_RWchLPcsFXqAPmcLwKXZBgjY9A1-a8MKO4vfo3crwG2PX01soY8Bf7dxgUdh122i65JZ40kfwfdmnZXGu9g22cgnY5fC0LvQhnN0Ys06wMWvDtHH3XhWPmTTl_tJOZpmtRAyZoXQxNQEVMHk3BhDkwhicqiFBqqVVUrP57IxWnJVM1lwICBsbm1BmWqAD9HVoXfj3dcWQqyWbrt_LFRpC82VUCRB_ADV3oXgwVYb33bG7ypKqv2K1R8rptT1IdV1oeph2f1L_wCeaXDv</recordid><startdate>20000608</startdate><enddate>20000608</enddate><creator>Inzitari, Domenico</creator><creator>Eliasziw, Michael</creator><creator>Gates, Peter</creator><creator>Sharpe, Brenda L</creator><creator>Chan, Richard K.T</creator><creator>Meldrum, Heather E</creator><creator>Barnett, Henry J.M</creator><general>Massachusetts Medical Society</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20000608</creationdate><title>The Causes and Risk of Stroke in Patients with Asymptomatic Internal-Carotid-Artery Stenosis</title><author>Inzitari, Domenico ; Eliasziw, Michael ; Gates, Peter ; Sharpe, Brenda L ; Chan, Richard K.T ; Meldrum, Heather E ; Barnett, Henry J.M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-8490ac0e7826baaa126b40a5ec49e197f779bb6da9637c2683e0e4f5ff8127de3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Cardiovascular disease</topic><topic>Medical imaging</topic><topic>Stroke</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inzitari, Domenico</creatorcontrib><creatorcontrib>Eliasziw, Michael</creatorcontrib><creatorcontrib>Gates, Peter</creatorcontrib><creatorcontrib>Sharpe, Brenda L</creatorcontrib><creatorcontrib>Chan, Richard K.T</creatorcontrib><creatorcontrib>Meldrum, Heather E</creatorcontrib><creatorcontrib>Barnett, Henry J.M</creatorcontrib><collection>CrossRef</collection><collection>Pharma and Biotech Premium PRO</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>Natural Science Collection (ProQuest)</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>New England Journal of Medicine</collection><collection>ProQuest Biological Science Collection</collection><collection>Consumer Health Database</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Applied & Life Sciences</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inzitari, Domenico</au><au>Eliasziw, Michael</au><au>Gates, Peter</au><au>Sharpe, Brenda L</au><au>Chan, Richard K.T</au><au>Meldrum, Heather E</au><au>Barnett, Henry J.M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Causes and Risk of Stroke in Patients with Asymptomatic Internal-Carotid-Artery Stenosis</atitle><jtitle>The New England journal of medicine</jtitle><date>2000-06-08</date><risdate>2000</risdate><volume>342</volume><issue>23</issue><spage>1693</spage><epage>1701</epage><pages>1693-1701</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>Whether to perform carotid endarterectomy in asymptomatic patients is an important public health issue. On the basis of Medicare records, the number of carotid endarterectomies in the United States rose from 46,571 in 1989 to 108,275 in 1996.
1
The National Hospital Discharge Survey estimated that 144,000 endarterectomy procedures were performed in 1997 (Pokras R: personal communication). Half of the procedures are performed in asymptomatic patients.
2
Two million people in the United States who are over the age of 50 years are estimated to have asymptomatic carotid-artery stenosis of at least 50 percent of the luminal diameter.
3
Uncertainty about the ideal . . .</abstract><cop>Boston</cop><pub>Massachusetts Medical Society</pub><doi>10.1056/NEJM200006083422302</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; New England Journal of Medicine |
subjects | Cardiovascular disease Medical imaging Stroke Veins & arteries |
title | The Causes and Risk of Stroke in Patients with Asymptomatic Internal-Carotid-Artery Stenosis |
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