Misconceptions regarding the adequacy of best medical intervention alone for asymptomatic carotid stenosis

Medical intervention (risk factor identification, lifestyle coaching, and medication) for stroke prevention has improved significantly. It is likely that no more than 5.5% of persons with advanced asymptomatic carotid stenosis (ACS) will now benefit from a carotid procedure during their lifetime. However, some question the adequacy of medical intervention alone for such persons and propose using markers of high stroke risk to intervene with carotid endarterectomy (CEA) and/or carotid angioplasty/stenting (CAS).

Source: Journal of Vascular Surgery - September 25, 2019 Category: Surgery Authors: Anne L. Abbott, Alejandro M. Brunser, Athanasios Giannoukas, Robert E. Harbaugh, Timothy Kleinig, Simona Lattanzi, Holger Poppert, Tatjana Rundek, Saeid Shahidi, Mauro Silvestrini, Raffi Topakian Source Type: research