Why the study?
What are the current treatment options and stratification methods for patients with asymptomatic carotid artery stenosis?
What are the current treatment options and stratification methods for patients with asymptomatic carotid artery stenosis?
This review highlights the evolving landscape of treatments for asymptomatic carotid artery stenosis, emphasizing the need for careful patient stratification between medical and surgical options.
Emphasizes individualized stratification for asymptomatic carotid stenosis; leaves open optimal intervention thresholds amid medical and stenting advances.
The treatment of asymptomatic carotid artery stenosis (ACAS) has continued to evolve for the past 3 decades. With rapidly advancing technology, the results of old trials have become obsolete. While there has been little change in the efficacy of carotid endarterectomy, there have been vast improvements in both medical management and carotid angioplasty with stenting. Finding the best therapy for a given patient can therefore be difficult. In this article, the authors review the current literature regarding treatment options for ACAS and the methods available for stratifying patients who would benefit from surgical versus medical treatment.
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Doe et al. (2011) studied this question.
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