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Recent guidelines recommend that if stroke patients are medically stable, performing carotid endarterectomy (CEA) within 2 weeks is preferred rather than delayed surgery. However, some single-center studies have raised the concern that hyperacute CEA (within 48 hours of the most recent neurologic event) is associated with a high postoperative rate of stroke and death. Two studies address this question.
Tsantilas and colleagues retrospectively reviewed data from 401 CEA procedures performed within an 11-year period. They assessed the rate of in-hospital stroke and death and compared rates for CEA performed at differing time periods after the last neurologic event (0–2 days, 3–7 days, 8–14 days, and 15–180 days; 43% of events were transient is…