To Aspirin, to Clopidogrel or to Both for Preoperative CAS?

This issue of the AMM harbors a study on postoperative cervical hematoma to patients who underwent carotid surgery. It is an observational retrospective study on 100 consecutive patients operated on during the last two years (2009–2111) in the Clinic of Cardiovascular Surgery of the local county emergency hospital. That is, after the publication of the ESVS Guidelines on invasive treatment for carotid stenosis, stating among others, that the only RCT on dual antiplatelet treatment in CAS (carotid artery stenosis) ”was found to be associated with a significant reduction in the neurological complication rates (25% vs. 0%) without an additional increase in bleeding complications” [1,2]. [More]