Carotid endarterectomy: improved clinical outcome and reduced length of hospitalization.

AUDIENCE: This exercise is intended for vascular surgeons, neurologists, cardiologists, and primary care physicians caring for persons who are at risk for or who have suffered a stroke. GOAL: To present data from a single institution on the incidence and costs associated with carotid endarterectomy compared with other techniques to diagnose and prevent stroke. OBJECTIVES: 1. Outline the prevalence of stroke in the United States and the role of carotid endarterectomy (CEA) in its treatment. 2. Discuss the various preoperative tests that help determine a patient's suitability for CEA. 3. Discuss the cost implications of stroke prevention.