The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Second asymptomatic carotid surgery trial (ACST-2): a randomised comparison of carotid artery stenting versus carotid endarterectomy. Lancet 2021; 398: 1065-1073.

Published: 9th December 2021

Authors: Halliday A, Bulbia R, Bonati LH, Chester J, Cradduck-Bamford A, Peto R et al.


A total of 3625 patients were included and followed for five years. Perioperative stroke and death rates were similarly low with both methods. The rate of disabling or fatal non procedure-related stroke within five years was 2.5 per cent in both groups.

Pubmed Link