Stenting and carotid endarterectomy ‘on a par’ for long-term stroke risk

AusDoc brings you the latest news from the European Society of Cardiology Congress 2021.
Cardiologists who cannot decide whether a patient with asymptomatic severe carotid artery stenosis should be given a stent or undergo endarterectomy can be reassured both will be similarly protective against stroke, according to the results of a randomised trial.
Results of the UK-led ACST-2 trial were announced at the ESC Congress 2021 and simultaneously published in the Lancet.
Professor Alison Halliday of the University of Oxford presented the results of the trial, carried out in 3625 patients, all of whom had an incidental finding of severe but asymptomatic carotid artery stenosis – with 60% or more narrowing visible on ultrasound.