MRCP2-3055
You assess two new patients in the Cerebrovascular Clinic.
Mrs X is a 70-year-old woman with background hypertension. She has had one episode of presumed left amaurosis fugax one week previously. Carotid Doppler ultrasound scanning shows a 76% stenosis of the left internal carotid.
Mr Y is a 74-year-old man with stable angina and peripheral vascular disease. Three days previously he had a transient episode of dysphasia lasting 20 min. Carotid Doppler ultrasound scanning shows a 75% stenosis of the left internal carotid.
Who would benefit most from carotid endarterectomy?