To the Editor Dr Beckman1 discussed the available options for the management of asymptomatic carotid artery stenosis, using a 78-year-old female patient with severe stenosis as the case. Beckman summarized the results of the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST),2 demonstrating that in asymptomatic patients, carotid artery stenting (CAS) is associated with similar outcomes compared with carotid endarterectomy (CEA). The patient preferred revascularization over optimal medical therapy and consequently underwent uneventful CAS.1
Paraskevas KI, Veith FJ. Treatment Options for Asymptomatic Carotid Artery Stenosis. JAMA. 2014;311(5):526–527. doi:10.1001/jama.2013.285160
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