Carotid endarterectomy and medical therapy are equally effective in asymptomatic carotid stenosis

Takeaway

  • In real-world clinical practice, carotid endarterectomy and initial medical therapy may be equally acceptable treatment strategies for people with asymptomatic carotid stenosis.

Why this matters

    Some have questioned whether the clinical benefits of carotid endarterectomy reported in randomized clinical trials are seen in real-world practice. These findings suggest that the perioperative risks associated with carotid endarterectomy as well as the minimal benefits of revascularization, render initial medical therapy an equally acceptable treatment strategy for the management of asymptomatic carotid stenosis.