Carotid endarterectomy tied to lower stroke, mortality rates than stenting

Carotid endarterectomy (CEA) was associated with significantly lower long-term stroke and mortality compared to carotid artery stenting (CAS) in patients with asymptomatic carotid artery disease, according to a new real-world analysis. The study, which was presented at VAM 2026, compared…
TCAR may offer lower neurological risk than CEA in older symptomatic patients

A large retrospective analysis of more than 350,000 patients drawn from the Vascular Quality Initiative (VQI) database found transcarotid artery revascularization (TCAR) maintained a more favorable neurological risk profile compared with carotid endarterectomy (CEA) in older symptomatic patients, with the…
Carotid endarterectomy and TCAR show comparable outcomes in patients with high cardiac risk

Carotid endarterectomy (CEA) and transcarotid artery revascularization (TCAR) showed similar perioperative safety and long-term effectiveness in patients with severe cardiac comorbidities, according to a recent retrospective review of a prospectively maintained database. Aidin Baghbani, MD, first author on the study…
CREST-2: Landmark trial finds benefit from carotid stenting

The National Institutes of Health (NIH)-funded CREST-2 study has found that, for people with high-grade asymptomatic carotid artery stenosis who have not experienced recent stroke symptoms, a carotid artery stenting (CAS) procedure—combined with intensive medical therapy—significantly lowered stroke and death…
‘Historical’ CREST-2 data show reduced stroke risk with carotid stenting versus medical therapy alone

The international CREST-2 study has found that, for people with severe carotid artery narrowing who have not experienced recent stroke symptoms, a minimally invasive carotid artery stenting (CAS) procedure—combined with intensive medical therapy—significantly lowered stroke risk compared with medical therapy…
Not all carotid procedures are equal after patients suffer a postoperative stroke

Comparative analysis looks at stroke-related disability and mortality after three modes of carotid revascularization. Strokes after transfemoral carotid artery stenting (TFCAS) were “the most disabling and lethal” when compared with transcarotid artery revascularization (TCAR) and carotid endarterectomy (CEA) in a…
Vascular surgery history: Putting specialty on the map in a broader sense

The people, discoveries, innovations and events that brought the vascular surgery profession to where it is today formed the bedrock of the subject matter for this year’s John Homans Lecture—“Who put the vascular in vascular surgery?”—at the 2025 Vascular Annual…
Drilling into controversies in field of asymptomatic severe carotid stenosis management

Some of the enduring controversies in the management of asymptomatic severe carotid stenosis will underpin an educational session set to take place today. The session tackles debate around the deployment of carotid revascularization strategies in both standard- and high-risk patient…
Survey suggests greater exposure to mini-incision carotid endarterectomy during training may dispel perceived limitations to approach

While a recent survey found that a majority of those who responded had performed mini-incision carotid endarterectomy (CEA) at least once in their practice careers, most answered that they did not perform the surgery routinely. In the world of general…
Carotid endarterectomy outperforms stenting amid overuse of both procedures in 10-year cohort study

A retrospective, nationwide cohort study has revealed carotid endarterectomy (CEA) performed better than carotid artery stenting (CAS) in France over the course of a decade, while also highlighting the overuse of both procedures in the same period. Based on their…

