Carotid revascularization at 3-14 days linked to best outcomes in cohort study

A retrospective multi-center cohort study of 821 carotid revascularization procedures (2016-2026) stratified patients by timing of intervention after symptom onset into urgent (0-2 days), early (3-14 days), and delayed (≥15 days) groups. The study reported that the early (3-14 day) group had the lowest 30-day composite outcome of stroke, TIA, MI, or death (2.8%) and the lowest long-term reintervention and restenosis rates, while urgent revascularization carried higher perioperative mortality and delayed intervention was associated with higher long-term reintervention risk. The authors concluded that a 3-to-14-day window was associated with the most favorable perioperative and long-term outcomes among the groups studied.

Most relevant for: Patients presenting with stroke, TIA, or amaurosis fugax due to symptomatic carotid artery disease being considered for revascularization.

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