Table 1 Inclusion/Exclusion Criteria for Carotid Endarterectomy Trials
NASCET [9] |
Inclusion |
Symptoms of focal cerebral ischemia ipsilateral to a stenosis of <70% (moderate group) or ≥70% (severe group) within 180 days, as shown on angiography |
Symptoms lasting <24 hours or producing nondisabling stroke (Rankin score <3) |
Exclusion |
Age >80 years (initial phase of moderate and severe stenosis; continuing study of moderate stenosis included these patients) |
Lack of angiographic visualization of symptomatic artery |
Lack of informed consent |
Intracranial stenosis more severe than the cervical stenosis |
Other disease limiting life expectancy to <5 years |
Cerebral infarction limiting useful function in the affected arterial territory |
Nonatherosclerotic carotid disease |
Cardiac lesions likely to cause cardioembolism |
History of ipsilateral carotid endarterectomy |
ACAS [8] |
Inclusion |
Age 40–79 years |
Compatible history and findings on physical and neurologic examination |
Acceptable laboratory and electrocardiogram results |
Arteriography within the previous 60 days indicating stenosis of at least 60% reduction in diameter (if arteriography performed 61–364 days before randomization, repeat Doppler showing artery still patent) or Doppler examination within 60 days showing a frequency or velocity greater than the instrument-specific cut point with 95% positive predictive value or Doppler examination showing a frequency or velocity greater than the instrument-specific 90% positive predictive value cut point confirmed by ocular pneumoplethysmographic examination within the previous 60 days |
Exclusion |
Cerebrovascular event in the distribution of the affected carotid artery or the vertebrobasilar system |
Symptoms referable to the contralateral cerebral hemisphere within the previous 45 days |
Contraindication to aspirin therapy |
Any disorder that could seriously complicate surgery |
Any condition that could prevent continuing participation or likely to produce death or disability within 5 years |
Lack of informed consent |