Effects of timing on in-hospital and one-year outcomes after transcarotid artery revascularization.

ABSTRACT:

Objective

The current recommendations are to perform carotid endarterectomy within 2 weeks of symptoms for maximum long-term stroke prevention, although urgent carotid endarterectomy within 48 hours has been associated with increased perioperative stroke. With the development and rapid adoption of transcarotid artery revascularization (TCAR), we decided to study the effect of timing on the outcomes after TCAR.

Methods

The Vascular Quality Initiative database was searched for symptomatic patients who had undergone TCAR from September 2016 to November 2019. These patients were stratified by the interval to TCAR after symptom onset: urgent, within 48 hours; early, 3 to 14 days; and late, >14 days. The primary outcome was the in-hospital rate of combined stroke and death (stroke

SUBMITTER: Cui CL 

PROVIDER: S-EPMC8118084 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature