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Interrater agreement for high grade carotid artery stenosis measurement and treatment decision.

C C Stapf, C C Hofmeister, A A Hartmann, S S Seyfert, H C HC Koch, J P JP Mohr, P P Marx, and H H Mast

European Journal of Medical Research 5(1):26-31 (2000) PMID 10657286

Randomized trials in North America (NASCET, ACAS) and Europe (ECST) have shown a beneficial effect of endarterectomy for patients with high grade carotid artery stenosis. The results of the NASCET and the ECST further suggest that the effect of endarterectomy differed by degree of stenosis, supporting the importance of stenosis measurement as a factor in the decision process regarding surgery. We investigated the interrater agreement for carotid artery stenosis measurements and treatment decision in a post hoc study on patients undergoing carotid surgery.

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