Medical Management and Revascularization for Asymptomatic Carotid Stenosis

Key Points

• This research aims to explore the effectiveness of stenting compared to medical management for patients with asymptomatic carotid stenosis.
• Compared stenting with intensive medical management.
• Evaluated perioperative stroke and death within four years.
• Assessed outcomes in patients with high-grade stenosis without recent symptoms.
• Stenting led to a lower risk of composite of perioperative stroke or death or ipsilateral stroke within four years than medical management alone.
• Carotid endarterectomy did not show significant benefits over medical management.