García-Pastor A, et al. - In a population of patients with symptomatic carotid near-occlusion (SCNO), researchers determined the 24-month risk of recurrent stroke and examined the impact of the different treatment modalities (medical treatment and revascularization). Patients with angiography-confirmed SCNO were involved in this multicentre, nationwide, prospective study. Study participants included 141 patients from 17 Spanish centres. In 58 patients, complete revascularization was achieved. It was noted that periprocedural stroke or death occurred in 5.7%. Findings revealed that the cumulative rates of ipsilateral ischaemic stroke or transient ischaemic attack, disabling or fatal stroke, and mortality, were 17%, 4.5% and 7.5%, respectively. In patients with SCNO, the rate of ipsilateral ischaemic stroke appears to be lower than the known rate of severe carotid stenosis without near-occlusion. The efficacy and safety of the procedure can influence the potential benefit of revascularization in stroke prevention in patients with SCNO.