Do you consider a severe ICA stenosis (70-99% narrowing per NASCET criteria) symptomatic if a lacunar stroke attributable to small vessel disease occurs in the perforating arteries (e.g. lenticulostriate) downstream from the stenosis?  

Do you offer this person a vascular intervention (i.e. CEA or stenting)?



Answer from: at Community Practice
Comments
at Neurology Specialists of Greater Pittsburgh
Thank you.
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