Delays to Surgery and Procedural Risks Following Carotid Endarterectomy in the UK National Vascular Registry

Timeliness and outcomes of carotid endarterectomy for symptomatic carotid artery stenosis: a single centre audit

“…Collaboration with the Ophthalmology and Neurology departments to facilitate urgent GP referrals and review of potential candidates for CEA would be crucial in reducing this source of delay. These were consistent with the findings of other international studies of a similar nature …”

“…These were consistent with the findings of other international studies of a similar nature. [7][8][9][10] The delay in accessing surgery after assessment by the vascular service is of particular concern and amenable to improvement. The factors contributing to this delay can be divided into departmental resources, timing and patient factors.…”

Urgent Carotid Endarterectomy Does Not Increase Risk and Will Prevent More Strokes

“…18 Encouraging results were recently reported by the UK National Vascular Registry. 19 An analysis of 23 235 CEAs performed in the United Kingdom from January 2009 to December 2014 showed that the time from onset of neurological symptoms (TIA/stroke) to undergoing CEA has decreased year on year. Although CEA was performed within 2 weeks of index symptom onset in only 10% of patients in 2008, it increased to 37% in 2009 and went up to 58% by 2014.…”

“…The most common reason for this was a delay in referral to the vascular surgeon followed by a delay in the patient seeking medical advice and delays in accessing carotid imaging. 19 In conclusion, the management of patients with symptomatic carotid artery stenosis has undergone considerable changes in the last few years. 20 Previously conceived myths and fallacies have been proven wrong, and international guidelines have been revised accordingly.…”

Editorial on “Delays to Surgery and Procedural Risks Following Carotid Endarterectomy in the UK National Vascular Registry”

“…9e11 In this issue of the Journal, Loftus et al make an important contribution towards answering the important question of whether early/urgent CEA is safe in a non-selected patient cohort. 12 The authors analyzed data from the UK National Vascular Registry (NVR) involving 23,235 symptomatic patients (median age 73 years, 67% male) who underwent CEA between 2009e2014. Together with the SwedVasc registry 8 and soon to be published data from the German Carotid Registry, the UK NVR will become one of the three largest analyses of outcomes, stratified for delay between symptom and CEA.…”