Carotid Artery Stenting Is Now an Evidence-Based Adjunct to Intensive Medical Therapy for Stroke Prevention.

Authors

James F Meschia

Published in

Neurology. Volume 107. Issue 6. Pages e218441. Sep 22, 2026. Epub Sep 03, 2026.

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.

PMID:
42691470
Bibliographic data and abstract were imported from PubMed on 04 Sep 2026.

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