What is the optimal management for patients with AF and carotid stenosis not treated by revascularization?
The optimal management for patients with AF and carotid stenosis not treated by revascularization is not known and requires further randomized data. Decisions need to be tailored to the individual patient, and may include OAC therapy, without long-term antiplatelet therapy, but this is an ungraded consensus-based statement. Current practice is to treat all potential stroke risk factors including AF and carotid stenosis.