#ESCCongress – RCT: Among asymptomatic patients with severe carotid stenosis, carotid surgery and stenting carry similar risks, and the long-term risk of stroke was comparable. There was no medically treated arm in this study.

Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy – The Lancet

Commentary on Twitter

#ACST-2 stent CAS ?surgery CEA
For asymptotic carotid stenosis >= 60%https://t.co/lyLBn8C8cv
?No difference in death 30d MI, stroke 5 yr f/u
?Slight ⬆️in minor 30d strokes w Stenting but no QOL change at 6 mo
?no medical Rx arm
?both arms 1% procedural risk #ESCCongress pic.twitter.com/8ptcrstn0D

— Ritu Thamman MD (@iamritu) August 29, 2021