NEJM Journal Watch editors discuss this controversy and the ongoing randomized trial comparing the two approaches.
A new observational study published in JAMA (JAMA 2022; 327:1974) suggests that outcomes with medical management of asymptomatic carotid stenosis might be comparable to outcomes with endarterectomy or stenting. In a new Clinical Conversation, NEJM Journal Watch General Medicine Editor-in-Chief Allan Brett discusses this controversy with Dr. Seemant Chaturvedi, an Associate Editor for NEJM Journal Watch Neurology. Dr. Chaturvedi is a Professor of Neurology at the University of Maryland and an investigator in CREST-2, an ongoing randomized trial designed to compare medical management and revascularization in patients with asymptomatic carotid stenosis. Click to read NEJM Journal Watch's coverage of the JAMA article and to listen to the editor…