无症状重度颈动脉狭窄应是血管重建术的适应证吗？

Should asymptomatic severe carotid stenosis be an indication for revascularization？

随着卒中药物预防的不断改善，无症状颈动脉狭窄患者同侧卒中风险已等于甚至低于随机对照试验中的血管重建术组。在这种情况下，无症状重度颈动脉狭窄还是血管重建术的适应证吗？文章介绍了不同学者的观点。

With the continuous improvement of drug for stroke prevention, ipsilateral stroke risk in patients with asymptomatic carotid stenosis has been equal to or lower than that in the revascularization group in randomized controlled trials. Under this condition, is the asymptomatic severe carotid stenosis an indication for revascularization？ This article introduces the views of different researchers.