Question

A 65-year-old man with asymptomatic carotid bruit has 80% stenosis on duplex; optimized on statin and BP control. He had a TIA 2 weeks ago. What is recommended?

Accepted Answer

Carotid endarterectomy within 2 weeks of TIA for symptomatic high-grade stenosis

Answer

Medical therapy alone

Answer

Carotid artery stenting is mandatory in all

Answer

Delay intervention for 6 months

Answer

No antiplatelet therapy

Practice question

A 65-year-old man with asymptomatic carotid bruit has 80% stenosis on duplex; optimized on statin and BP control. He had a TIA 2 weeks ago. What is recommended?