Question # 25

A 64-year-old patient with persistent hypertension and type 2 diabetes has a carotid duplex ultrasound performed during stroke workup, revealing a 75% asymptomatic stenosis of the left internal carotid artery. In addition to optimal medical therapy, which of the following interventions is indicated according to current guidelines?

Options:

A.

Immediate emergent carotid artery stenting within 24 hours regardless of surgical risk

B.

Evaluation for carotid endarterectomy (CEA) or carotid artery stenting (CAS) performed by an experienced surgical team

C.

Observation alone with yearly ultrasound imaging, avoiding any surgical or endovascular intervention

D.

Immediate bilateral radical neck dissection to excise the carotid bifurcation

Viewing question 25 out of 47 questions
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