Letter by Paraskevas et al regarding article, "Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the American Heart Association/american Stroke Association".

To the Editor: Carotid artery stenting (CAS) has emerged as an alternative to carotid endarterectomy (CEA) for the management of carotid artery stenosis. Several randomized trials have compared the outcomes of the 2 methods for the management of both symptomatic and asymptomatic carotid artery stenosis without reaching any solid conclusions. According to the recent American Heart Association/American Stroke Association guidelines for the management of patients with a recent stroke or transient ischemic attack,1 “CAS is indicated as an alternative to CEA for symptomatic patients at average or low risk of complications associated with endovascular intervention when the diameter of the lumen of the internal …