practice guidelines for the management of extracranial carotid artery disease in the Journal of Vascular Surgery.12 More recently, a multispecialty document has been published on the “Management of Patients with Extracranial Carotid and Vertebral Artery Disease.”13 This extensive document represents an effort to evaluate the existing literature on extracranial carotid and vertebral disease and is an important reference.РThe data contained in the recently published randomized trials has prompted the Society for Vascular Surgery to publish an update of its 2008 guidelines, confined to management of extracranial carotid artery disease. This is particularly appropriate because vascular surgeons play a major if not predominant role in the management of patients with carotid bifurcation disease.
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