Glousman BN, Sebastian R, Macsata R, et al. - Researchers sought to report on real-world outcomes of carotid endarterectomy (CEA) in asymptomatic octogenarians. From the American College of Surgeons National Surgical Quality Improvement Program CEA-targeted database, they assessed data of 13,846 patients with asymptomatic carotid stenosis who underwent an elective CEA; of these, 2,509 were octogenarians and 11,337 were younger patients. As per the analysis, octogenarians were comparable to younger patients regarding their 30-day outcomes of CEA. Despite a slightly higher risk of mortality among octogenarians vs younger patients, octogenarians still had low absolute risk of mortality at 1.2%. This suggests that performing CEA in octogenarians with asymptomatic carotid stenosis is safe. Therefore, in the decision to operate, the major determinants should be overall life expectancy and preoperative functional status, not the age.