Groundbreaking research could lead to fewer endarterectomies

Interim analysis of trial data suggests not everyone with carotid artery stenosis needs post-stroke surgery.

Most patients with carotid stenosis of 50% or more at low to medium risk of further stroke could be spared from revascularisation, a groundbreaking study has found.

The randomised trial across 30 stroke centres in Canada and Europe found no evidence that adding carotid endarterectomy or stenting to optimised medical therapy improved outcomes in the two years following a stroke.