Outcomes of carotid stenting compared with endarterectomy are equivalent in asymptomatic patients and inferior in symptomatic patients

In symptomatic patients with carotid artery stenosis, the most appropriate procedure appears to be CEA, whereas CAS appears to be a suitable minimally invasive approach for asymptomatic patients. On the basis of these results and data from recent multicenter randomized trials, the use of CAS in symptomatic patients should be approached with caution.