Too few people in UK at high risk of stroke are getting carotid endarterectomies

BMJ 2010; 341 doi: (Published 21 July 2010) Cite this as: BMJ 2010;341:c3879
  1. Zosia Kmietowicz
  1. 1London

    Fewer than half the people in the United Kingdom who are at high risk of having a stroke are benefiting from carotid endarterectomy to improve blood flow in the veins in their neck, an audit has shown.

    Surgeons carry out only 4500 carotid endarterectomies a year in the UK, even though an estimated 10 000 patients could benefit from the operation. The number of carotid endarterectomies per head of UK population is the lowest in the developed world and a 10th of that in the United States (99 per 100 000 in California). In England the rate is 8.7 per 100 000.

    Surgeons who carried out the second audit of vascular surgical services and carotid endarterectomy in the UK are calling for an …

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