Why the study?
Does a history of carotid endarterectomy improve secondary medical prevention in patients with ischemic stroke or TIA?
Population
18,467 ischemic stroke and transient ischemic attack (TIA) patients from the international REACH Registry
Comparison
History of carotid endarterectomy vs No history of carotid endarterectomy
Design
Cross-sectional
Authors
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History of endarterectomy was associated with better secondary prevention metrics in stroke/TIA; leaves open whether this reflects causation or selection bias.
Does a history of carotid endarterectomy improve secondary medical prevention in patients with ischemic stroke or TIA?
A history of carotid endarterectomy in stroke/TIA patients is associated with higher utilization of antiplatelet agents and statins, suggesting procedural history may positively influence medical secondary prevention.
Touzé et al. (2006) studied this question.
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