017). Including perioperative events at 2 years, there were no differences between groups in ipsilateral stroke, any stroke, disabling stroke, death, or any stroke or death.Comment: The study is interesting in that it suggests that the choice of CEA technique may influence periprocedural events but not long-term ipsilateral stroke or overall death. The limitations of this study are obvious: it used a nonrandomized post hoc analysis, with no information about why one CEA technique was chosen over the other, and lacked a blinded outcome assessment. The authors also note that an infinite hazard ratio confidence interval for ipsilateral stroke Ͼ30 days and the wide odds ratio confidence intervals for death rates indicate that, statistically, a substantial technique-dependent effect has not truly been ruled out by this study. Nevertheless, this was an independently monitored, multicenter study and therefore may have more generally applicable and accurate data than a single-center study.