Casana R, et al. - Among symptomatic patients with and without acute coronary syndrome (ACS), researchers analyzed outcomes of carotid artery stenting (CAS) in this single-center study. Participants were recruited from a single institution and were 151 in totality, with 66 (43.7%) identified as having ACS. Active smoking, metabolic syndrome, diabetes, and hypertension were identified as common risks factors among symptomatic ACS patients. Patients with and without ACS did not significantly differ in terms of rates of death, stroke, myocardial infarction (MI), and restenosis, at short-term follow-up. Patients with ACS had higher rates of death and MI in the long-term follow-up, because of their complexity. Findings revealed the safety as well as the efficacy of CAS as a treatment option for patients with symptomatic carotid artery stenosis, who recently underwent percutaneous transluminal coronary angioplasty for ACS, needing uninterrupted dual antiplatelet therapy.