The purposes behind nonoperative and postponed usable administration in this accomplice of patients with asymptomatic carotid stenosis were ordinarily comorbidities and old age. Be that as it may, a subset of patients had never been alluded to vascular specialists or interventionalists. Antagonistic neurologic occasions because of carotid stenosis were not seen during a middle development of ∼3 years. 

The shortcoming of this examination is the modest number (n = 35) of patients with asymptomatic serious carotid stenosis who were dealt with nonoperatively or with deferred a medical procedure. The normal age for utilizing old age as a justification no or a postponed mediation was 85 years. The creators offer opposing discoveries. From one perspective, in light of the fact that unfavorable neurologic occasions because of carotid stenosis were not seen during follow-up, they could contend that we ought to be more specific in suggesting prophylactic CEA. Then again, in light of the fact that their patients had more noteworthy long haul endurance than anticipated, they could contend that prophylactic CEA ought to be performed more generously on the grounds that patients live more than recently announced. I would lean toward the more moderate methodology.

Reference link- https://www.jvascsurg.org/article/S0741-5214(21)00006-9/fulltext