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    Transfemoral carotid artery stent placement for asymptomatic extracranial carotid stenosis

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    Questions

    1. Is it likely that a more permissive recommendation would lead to increased demand for evaluation of carotid artery stenosis? If so, what would the effects be on the health service (both imaging services and vascular surgical services)?

    2. Do you agree with the committee's interpretation of the evidence?

    3. Many of the papers in the evidence review were written some time ago. Have more recent advances in the medical management of asymptomatic carotid artery stenosis reduced the need for surgical interventions, such as the use of stents?

    4. Are outcomes from stents affected by long-term complications, such as restenosis or stroke occurring after 10 years, or would any difference in outcomes between stenting and continued medical management be seen within 10 years.