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Asymptomatic Carotid Surgery Trial 2: an international randomised trial to compare carotid endarterectomy with carotid artery stenting to prevent stroke

Asymptomatic Carotid Surgery Trial 2: an international randomised trial to compare carotid endarterectomy with carotid artery stenting to prevent stroke

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN21144362
Enrollment
5000
Registered
2006-07-03
Start date
2007-04-01
Completion date
Unknown
Last updated
2026-02-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Stroke caused by stenosis in the carotid arteries Circulatory System Stroke

Interventions

Carotid endarterectomy versus carotid artery stenting

Sponsors

University of Oxford (UK)
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patient in need of some type of carotid artery intervention, with substantial uncertainty about whether to treat with CEA or CAS 2. Carotid artery stenosis with no ipsilateral carotid territory symptoms within the last 6 months 3. Patient fit and willing for follow-up

Exclusion criteria

Exclusion criteria: 1. Previous CEA or CAS in randomised artery 2. High risk of adverse events of trial treatment e.g. inaccessible stenosis 3. Small likelihood of worthwhile benefit e.g. low risk of stroke 4. Patient unable or unwilling to give informed consent

Design outcomes

Primary

MeasureTime frame
1. Peri-procedural hazards (within 30 days) stroke, myocardial infarction and death 2. Long-term hazards (after 30 days) stroke and death

Secondary

MeasureTime frame
Cost-effectivness of CEA and CAS

Countries

Belgium, Bulgaria, Canada, China, Czech Republic, Egypt, England, Estonia, France, Germany, Greece, Hungary, Ireland, Israel, Italy, Japan, Kazakhstan, Netherlands, Norway, Poland, Russian Federation, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, United Kingdom, United States of America

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 22, 2026