Current Cardiology Reports

, Volume 13, Issue 1, pp 24–29

Update on Surgical Management for Asymptomatic Carotid Stenosis


DOI: 10.1007/s11886-010-0146-1

Cite this article as:
Walkup, M.H. & Faries, P.L. Curr Cardiol Rep (2011) 13: 24. doi:10.1007/s11886-010-0146-1


The management of asymptomatic carotid stenosis has been a topic of considerable debate. In this article, we aim to critically review the recent literature as it pertains to surgical management of asymptomatic carotid stenosis. We will explore the most recent trials looking at advancements in best medical therapy, as well as trials that compare traditional carotid endarterectomy to carotid stenting. In addition, we will review the current literature on surgical technique and perioperative risk management. Overall, our current recommendation is for surgical management of asymptomatic carotid disease for stenoses ≥ 80% in patients who are of reasonable perioperative risk.


Asymptomatic carotid stenosisCarotid endarterectomyStroke

Clinical Trial Acronyms


Asymptomatic Carotid Atherosclerosis Study


Asymptomatic Carotid Emboli Study


Asymptomatic Carotid Surgery Trial


Carotid Revascularization Endarterectomy Versus Stenting Trial


General Anesthesia Versus Local Anesthesia for Carotid Surgery


Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy


Stent-protected Angioplasty in Asymptomatic Carotid Artery Stenosis Versus Endarterectomy

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Division of Vascular SurgeryNew YorkUSA