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Carotid Bypass Offers No Benefit in Preventing Secondary Stroke

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Major Finding: In patients with cerebral ischemia and recent stroke, a second stroke occurred after 2 years in 21% of patients who underwent carotid bypass surgery and in 23% of those who were managed by best medical practice.

Data Source: The Carotid Occlusion Surgery Study, which randomized 195 patients.

Disclosures: COSS was sponsored by the National Institutes of Neurological Disorders and Stroke. Dr. Powers reported having no financial disclosures.

Dr. Powers replied that more complete data will be presented at the annual meeting of the American Academy of Neurology in April.

COSS was sponsored by the National Institute of Neurological Disorders and Stroke. Dr. Powers reported having no financial disclosures.