Carotid Artery Stenting Is Now an Evidence-Based Adjunct to Intensive Medical Therapy for Stroke Prevention
Abstract
The CREST-2 trial demonstrated that carotid artery stenting combined with intensive medical management (IMM) significantly reduces stroke risk in patients with high-grade asymptomatic carotid stenosis compared with IMM alone. Careful patient selection and operator skill are critical factors for procedural success and can provide real-world validation of stenting as an important adjunct to IMM for stroke prevention. Continued advances in medical management and stenting are expected. It remains vital to engage in shared decision-making when considering moving forward with stenting of asymptomatic carotid stenosis.
Fields of Study & Subjects
Cerebrovascular and Carotid Artery Diseases
Cardiovascular Health and Disease Prevention
Intracranial Aneurysms: Treatment and Complications
Publication details
- Journal / source
- Neurology
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Volume
- 107
- Issue
- 6
- Pages
- e218441–e218441
- Publication date
- 3 September 2026
- Language
- EN