Carotid Endarterectomy Trends in the Patterns and Outcomes of Care at Academic Medical Centers, 1990 Through 1995

Abstract
CAROTID endarterectomy (CEA) is a common inpatient surgical procedure performed to prevent stroke in selected patients with high-grade atherosclerotic occlusive disease of 1 or both carotid arteries. In 1992 and 1993, approximately 90000 CEAs were performed in the United States.1 The first half of the 1990s saw revolutionary changes for patients undergoing a CEA. These changes have affected several aspects of patient care, including the diagnostic evaluation and management of patients. Little is known, however, about the extent and impact of these changes on patient outcomes.

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