Medical Management of Asymptomatic Carotid Artery Stenosis

Aaron W. Aday, Joshua A. Beckman

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations


Carotid artery atherosclerosis is a major risk factor for both stroke and cardiovascular disease. Appropriate management of asymptomatic patients with carotid artery stenosis (CAS) remains unclear. Although several randomized clinical trials support revascularization in asymptomatic patients with severe CAS to reduce stroke risk, the participants in these trials did not receive optimal medical therapy (OMT) by today's standards. For many individuals, medical therapy may provide excellent risk reduction without the periprocedural risk of endarterectomy or stenting. In this review, we discuss the risk factors for CAS and stroke and examine the data for each component of OMT in these patients.

Original languageEnglish (US)
Pages (from-to)585-590
Number of pages6
JournalProgress in Cardiovascular Diseases
Issue number6
StatePublished - May 2017
Externally publishedYes


  • Atherosclerosis
  • Carotid artery stenosis
  • Hypertension
  • Statin
  • Stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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