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More patients are getting rapid access to carotid endarterectomy, but variation remains

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f6373 (Published 23 October 2013) Cite this as: BMJ 2013;347:f6373
  1. Zosia Kmietowicz
  1. 1BMJ

More than half the patients in the United Kingdom who need a carotid endarterectomy have surgery within 14 days of experiencing symptoms of stroke or transient ischaemic attack, an audit has found.

The fifth report of the national carotid endarterectomy audit, carried out by the Royal College of Surgeons of England and the Vascular Society of Great Britain and Ireland, looked at 5723 operations carried out between 1 October 2011 and 30 September 2012. It found that 56% of patients who needed carotid endarterectomy were meeting the guideline target set by the National Institute of Health and Care Excellence to have surgery within two weeks of presenting with symptoms.1

The median time to surgery was 13 days, an improvement of 10 days …

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