Carotid endarterectomy is most successful in younger patients who have 75percnt; stenosis. Effective medical therapy includes anticoagulation, blood pressure control and normoglycemia. Isradipine is a new anti-atherosclerotic agent. Neuroradiologic techniques are increasing in number and inventiveness. Isoflurane remains the agent of choice although propofol may increase cerebral protection. Aggressive postoperative care of poor-grade aneurysm by volume expansion improves outcome.
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