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Stroke Risk, Stent Benefit, Surgical Uncertainty π§ β¨π§
Manage episode 520677742 series 2740117
New NEJM insights on asymptomatic carotid stenosis π§ π
The CREST-2 trials offer a landmark update: intensive medical therapy remains the cornerstone, while carotid stenting shows selective benefit when performed by expert operators. Endarterectomy, however, provides no significant advantage over modern medical management.
With stricter blood-pressure and LDL targets, plus expanding use of PCSK9 inhibitors, the future of stroke prevention is increasingly precision-driven, medically optimized, and patient-centered. ππβ¨
A thoughtful read for all involved in vascular care, cerebrovascular prevention, and clinical decision-making. ππ«
803 episodes
Manage episode 520677742 series 2740117
New NEJM insights on asymptomatic carotid stenosis π§ π
The CREST-2 trials offer a landmark update: intensive medical therapy remains the cornerstone, while carotid stenting shows selective benefit when performed by expert operators. Endarterectomy, however, provides no significant advantage over modern medical management.
With stricter blood-pressure and LDL targets, plus expanding use of PCSK9 inhibitors, the future of stroke prevention is increasingly precision-driven, medically optimized, and patient-centered. ππβ¨
A thoughtful read for all involved in vascular care, cerebrovascular prevention, and clinical decision-making. ππ«
803 episodes
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