Indication of CEA carotitd endartrectomy?

Indication of CEA carotitd endartrectomy???
Passmdcn says symptomatic patient wth stenosis more than 70% should b offrd for CEA…nd if asymptomatic patient stenosis is >60% shld also b considrd for CEA

Bt one questn…patient z asymptomatic nd stenosis z 80%.
Ans is only optimazation of medical treatmnt
Though there z an option for internal catotid endartrectomy
Can anybody plzzz explainn

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