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Fatal or disabling stroke or perioperative death in the Asymptomatic Carotid Surgery Trial

The risk of fatal or disabling stroke or perioperative death in the ACST. The net five-year risk for fatal or disabling strokes or perioperative death in the CEA group was reduced by nearly half compared with the CEA deferral group. About one-half of the strokes in the trial were fatal or disabling.

ACST: Asymptomatic Carotid Surgery Trial; CEA: carotid endarterectomy.

Reproduced with permission from: MRC Asymptomatic Carotid Surgery Trial (ACST) Collaborative Group. Prevention of disabling and fatal strokes by successful carotid endarterectomy in patients without recent neurological symptoms: randomised controlled trial. Lancet 2004; 363:1491. Copyright © 2004 Elsevier.

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