1naresh
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Inclusion Asymptomatic stenosis >80% or symptomatic stenosis >50% by angiography or ultrasonography and at least one of the following conditions that would result in high surgical risk: Age >80 years Congestive heart failure (class III/IV) and/or left ventricular ejection fraction <30% Open heart surgery needed within 6 weeks Recent myocardial infarction (>24 hours and <4 weeks) Unstable angina (CCS class III/IV) Severe chronic obstructive pulmonary disease Contralateral carotid occlusion Contralateral laryngeal nerve palsy Severe tandem lesions Lesions distal or proximal to the usual location Previous endarterectomy with restenosis Previous radiation therapy or radical neck surgery Exclusion Acute ischemic neurologic event within past 48 hours Total occlusion of the target carotid artery Surgical or interventional procedure planned within the next 30 days Common carotid ostial lesion