Carotid endarterectomy best in second week after stroke

And the first 48 hours are critical

Delaying carotid endarterectomy for a few days after a stroke is likely to yield better outcomes, a US study suggests.

The two take-home messages from the study are that carotid revascularisation should occur no sooner than 48 hours after index stroke event and that patients who undergo carotid revascularisation between eight and 14 days after a stroke have the best outcomes, said senior author Dr Mark Conrad, of Massachusetts General Hospital in Boston.

"Our hope is to not only limit the number of carotid interventions performed on symptomatic patients