What are the AHA/ASA guidelines on secondary stroke prevention in patients with an aortic arch atheroma?

Updated: Jan 10, 2016
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In the 2014 updated guidelines, the AHA/ASA added the recommendation that patients with evidence of aortic arch atheroma should receive statin therapy and antiplatelet therapy; however, the effectiveness of warfarin compared to antiplatelet therapy, is unknown. In addition, surgical endarterectomy of the aortic arch plaque for the purposes of secondary stroke prevention is not recommended (class III). [7]

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