CTV alone doesn't enable lightning symmetry (as far as I know) but the proposed LNHANCE upgrade combines CTV, CSFS (checksigfromstack) and IK (innerkey) to enable lightning symmetry.
CTV as proposed, as far as I'm concerned carries essentially no risk. It's functionally equivalent to presigned transactions, slightly more space efficient, and without the risk of mishandling keys or key leakage.
Of these, I understand the implications of CSFS the least, so I'm not sure if there are any risks, people I trust somewhat say there's no risk. Still, I prefer to understand as much as my pea brain allows. Regardless, I believe it's necessary to enable ln-symmetry with CTV.
IK is nothing but a very neat little space optimization for taproot, so it has no risks that I'm aware of.