2005
DOI: 10.1212/01.wnl.0000170368.82460.b4
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Population-based study of delays in carotid imaging and surgery and the risk of recurrent stroke

Abstract: Delays to carotid imaging and endarterectomy after TIA or stroke in the United Kingdom are similar to those reported in several other countries and are associated with very high risks of otherwise preventable early recurrent stroke.

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Cited by 247 publications
(175 citation statements)
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“…This rapid workup may become increasingly important, especially with respect to establishing the presence of occlusive carotid artery disease, because the effectiveness of carotid endarterectomy is not only a function of degree of stenosis but of the time delay that occurs between the TIA and the surgery. 33,34 In our study, 54% of patients were admitted to inpatient beds. Surprisingly, this rate did not increase during the ten-year study period.…”
Section: Discussionmentioning
confidence: 72%
“…This rapid workup may become increasingly important, especially with respect to establishing the presence of occlusive carotid artery disease, because the effectiveness of carotid endarterectomy is not only a function of degree of stenosis but of the time delay that occurs between the TIA and the surgery. 33,34 In our study, 54% of patients were admitted to inpatient beds. Surprisingly, this rate did not increase during the ten-year study period.…”
Section: Discussionmentioning
confidence: 72%
“…These times were shortened in hospitalized inpatients and in those receiving care via the emergency room, but the time to surgery still exceeded the two weeks recommended by guidelines 8 . Other surveys have found similar or longer waiting times 10,11 , and noted that delays to surgery were associated with an increase in the number of cerebrovascular events prior to intervention, many of which are disabling or fatal 9,12 . Patients undergoing evaluation as outpatients were less likely than inpatients to receive CEA in a timely fashion 13 .…”
Section: Original Articlementioning
confidence: 95%
“…Die Rationale eine in der Vergangenheit symptomatische Stenose nach einer bestimmten Zeitperiode wieder als asymptomatisch zu bezeichnen, basiert auf der Beobachtung eines mit der Zeit abnehmenden Rezidivrisikos. In der Oxford-Vascular Studie lag das Rezidivrisiko symptomatischer Stenosen ≥50% NASCET innerhalb von 14 Tagen bei 21%, innerhalb von 30 Tagen bei 28% und innerhalb von 12 Wochen bei 32% [16]. Auch in den konservativ behandelten Subgruppen aus ECST und NASCET kann ein solcher Zeiteffekt nachgewiesen werden.…”
Section: Bewertung Der Evidenzunclassified