There is a lack of evidence demonstrating a benefit from stenting in asymptomatic individuals outside of acute coronary syndromes.

“and frankly there been you know however many dozens of studies since then and at least from my point of view it there's nothing that screams at me that hey look our job as inter or preventive cardiologists or you know thoughtful internist should be to go looking for people who might benefit from a stint in the absence of symptoms and that that's where I'm left today is that I just can't I don't see any evidence yet that there's something magical about some group of people where they derive that much more benefit from a stent Beyond truly optimal medical therapy”