Cerebrovascular and Carotid Artery Diseases Peer reviewed

Medical Management and Revascularization for Asymptomatic Carotid Stenosis

Brajesh K. Lal, Jenifer H. Voeks, Tanya N. Turan, Gary S. Roubin and 40 more

New England Journal of Medicine | Nov 21, 2025 | 40 citations

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Among patients with high-grade stenosis without recent symptoms, the addition of stenting led to a lower risk of a composite of perioperative stroke or death or ipsilateral stroke within 4 years than intensive medical management alone.

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Among patients with high-grade stenosis without recent symptoms, the addition of stenting led to a lower risk of a composite of perioperative stroke or death or ipsilateral stroke within 4 years than intensive medical management alone. Carotid endarterectomy did not lead to a significant benefit. (Funded by the National Institute of Neurological Disorders and Stroke and others; CREST-2 ClinicalTrials.gov number, NCT02089217.).

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Authors

Researchers on this paper

Brajesh K. Lal

middle | University of Maryland, Baltimore | ORCID 0000-0001-6724-8201

Jenifer H. Voeks

middle | Medical University of South Carolina | ORCID 0000-0002-5544-3322

Tanya N. Turan

middle | Medical University of South Carolina | ORCID 0000-0001-5399-8845

Gary S. Roubin

middle | Centre for Research in Engineering Surface Technology | ORCID 0000-0002-3246-9239

Ronald M. Lazar

middle | University of Alabama at Birmingham | ORCID 0000-0002-7388-042X

Robert D. Brown

middle | Mayo Clinic in Arizona | ORCID 0000-0002-7065-8807

John Huston

middle | Mayo Clinic in Arizona | ORCID 0000-0003-0584-9460

Lloyd J. Edwards

middle | University of Alabama at Birmingham | ORCID 0000-0002-7788-4575

Michael Jones

middle | Central Baptist Hospital | ORCID 0000-0001-9118-755X

Wayne M. Clark

middle | Oregon Health & Science University | ORCID 0000-0001-7901-5659

Ángel Chamorro

middle | Hospital Clínic de Barcelona | ORCID 0000-0002-0392-6285

Laura Llull

middle | Hospital Clínic de Barcelona | ORCID 0000-0001-6897-2277

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Citation

BibTeX

@article{Lal2025Medical,
  title = {Medical Management and Revascularization for Asymptomatic Carotid Stenosis},
  author = {Brajesh K. Lal and Jenifer H. Voeks and Tanya N. Turan and Gary S. Roubin and Ronald M. Lazar and Robert D. Brown and John Huston and Lloyd J. Edwards and Michael Jones and Wayne M. Clark and Ángel Chamorro and Laura Llull and Carlos Mena‐Hurtado and Donald Heck and Randolph S. Marshall and Virginia J. Howard and Wesley S. Moore and Kevin M. Barrett and Bart M. Demaerschalk and Navdeep Sangha and Herbert D. Aronow and Thomas G. Brott and George Howard and Malcolm Foster and W. Charles Sternbergh and Fayaz A. Shawl and Giuseppe Lanzino and Joseph H. Rapp and Hoang S. Tran and Robert D. Ecker and Ariane Mackey and Vaqar Ali and Curtis A. Given and Philip Teal and Vikram S. Kashyap and Dipankar Mukherjee and Mark R. Harrigan and Scott Silverman and Matthew C. Koopmann and Virginia G. Wadley and Yu Zhang and J. Rhodes and Seemant Chaturvedi and James F. Meschia},
  journal = {New England Journal of Medicine},
  year = {2025},
  doi = {10.1056/nejmoa2508800},
  url = {https://doi.org/10.1056/nejmoa2508800}
}

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