Carotid controversies: CREST-2, new technologies and the road ahead

In this PVI 2025 interview, Dr Diego Ruiz Chiriboga and Dr Jose Ignacio Leal Lorenzo revisit the carotid debate in light of the latest evidence and technological advances. 

They discuss the implications of CREST-2, the role of best medical therapy and whether its findings could influence the management of asymptomatic patients. 

The conversation also looks beyond the trial, highlighting the importance of measuring individual outcomes, knowing when to seek expertise, and exploring the potential of new-generation mesh-covered carotid stents and flow-reversal techniques.

Watch the interview to hear their perspectives on the carotid controversies.