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To the Editor:We read with great interest the article by Kastrup et al.1 The authors showed that the proportion of patients with any new ipsilateral diffusion-weighted imaging (DWI) lesion (49% versus 67%; P <0.05) as well as the number of new ipsilateral DWI lesions were significantly lower after protected than unprotected carotid angioplasty and stenting ( P <0.05). Though the great majority of these lesions were asymptomatic, …

New MRI Brain Lesions as Surrogate Outcome for Carotid Stenting With and Without Cerebral Protection