Urgency of Carotid Endarterectomy for Secondary Stroke Prevention
Author(s) -
David J. Gladstone,
Jiwon Oh,
Jiming Fang,
Patty Lindsay,
Jack V. Tu,
Frank L. Silver,
Moira K. Kapral
Publication year - 2009
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.109.547497
Subject(s) - medicine , carotid endarterectomy , stenosis , interquartile range , stroke (engine) , endarterectomy , surgery , vascular surgery , cardiology , cardiac surgery , mechanical engineering , engineering
The benefit of carotid endarterectomy for preventing recurrent stroke is maximal when surgery is performed within 2 weeks after ischemic stroke or transient ischemic attack; the benefit is reduced when surgery is delayed >2 weeks and essentially lost if delayed >3 months. Guidelines recommend endarterectomy within 2 weeks poststroke/transient ischemic attack for patients with symptomatic carotid stenosis. This study examined time to endarterectomy at designated stroke centers as a measure of evidence-based best practices for stroke prevention.
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