Resumen
Dos meses atrás, un productor de televisión me pidió que comentara una noticia publicada en una red de noticias generada con inteligencia artificial. Al revisarla, supe que se basaba en los resultados del estudio CREST-21 publicados en el New England Journal of Medicine.
Citas
Brott TG, Howard G, Lal BK, et al. Medical management and revascularization for asymptomatic carotid stenosis. N Engl J Med. 2025 Nov 21. https://doi.org/10.1056/NEJMoa2508800
AbuRahma AF, Schermerhorn ML, Calligaro KD. Commentary by the Society for Vascular Surgery regarding CREST-2. J Vasc Surg. 2025. https://doi.org/10.1016/j.jvs.2025.12.090
AbuRahma AF, Avgerinos ED, Chang RW, et al. Society for Vascular Surgery clinical practice guidelines for management of extracranial cerebrovascular disease. J Vasc Surg. 2022;75(1 Suppl):4S-22S. https://doi.org/10.1016/j.jvs.2021.04.073
AbuRahma AF, Avgerinos ED, Chang RW, et al. The Society for Vascular Surgery implementation document for management of extracranial cerebrovascular disease. J Vasc Surg. 2022;75(1 Suppl):26S-98S. https://doi.org/10.1016/j.jvs.2021.04.074
Poorthuis MHF, Solomon Y, Herings RAR, et al. Temporal trends and determinants of stroke risk in patients with medically treated asymptomatic carotid stenosis. Stroke. 2023;54(6):1735-1749. https://doi.org/10.1161/STROKEAHA.122.041921
Howard VJ, Meschia JF, Lal BK, et al; CREST-2 Investigators. Carotid revascularization and medical management for asymptomatic carotid stenosis: protocol of the CREST-2 clinical trials. Int J Stroke. 2017;12(7):770-778. https://doi.org/10.1177/1747493017706238
Kakkos SK, Kakisis I, Tsolakis IA, Geroulakos G. Endarterectomy achieves lower stroke and death rates compared with stenting in patients with asymptomatic carotid stenosis. J Vasc Surg. 2017;66(2):607-617. https://doi.org/10.1016/j.jvs.2017.04.053
Saratzis A, Naylor R. 30-day outcomes after carotid interventions: an updated meta-analysis of randomized controlled trials in asymptomatic patients. Eur J Vasc Endovasc Surg. 2022;63(2):157-158. https://doi.org/10.1016/j.ejvs.2021.10.029
Halliday A, Bulbulia R, Bonati LH, et al; ACST-2 Collaborative Group. Second asymptomatic carotid surgery trial (ACST-2): a randomized comparison of carotid artery stenting versus carotid endarterectomy. Lancet. 2021;398(10305):1065-1073. https://doi.org/10.1016/S0140-6736(21)01910-3
