The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Surgical vs. medical treatment for isolated internal carotid artery elongation with coiling or kinking in symptomatic patients: a prospective randomized clinical study. J Vasc Surg 2005; 42: 838¿846.

Published: 1st January 2005

Authors: Ballotta E, Thiene G, Baracchini C, Ermani M, Militello C, Da Giau G et al.

Conclusion

All 92 patients in the surgery arm underwent uneventful surgery. Thirty-seven patients from the medical group crossed over to surgery because of new symptoms, with no postoperative deaths or strokes. Late hemispheric and retinal symptoms were lower in the surgical group (7.6 vs. 21.1 per cent, P=0.01).

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