Carotid endarterectomy: Another wake-up call
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To the Editor:
I read with interest the article and editorial on carotid endarterectomy (CE).1 Two important points were not addressed:
1) Will carotid stenting nearly entirely replace endarterectomy as the treatment of choice? In selected centers and in the hands of experienced operators, the mortality and morbidity is under 1%; e.g., Dr. Gary Roubin, who has performed over 700 procedures (personal communication, June 5, 2000).2 Unfortunately, there is a significant learning curve that has limited the widespread application of this useful technique.
2) Can the estimated 1% risk of …
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