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Abbiategrasso Brain Bank Protocol for Collecting, Processing and Characterizing Aging Brains
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RACE to protect brains.

Thomas E Rix1, Inderjit Singh, Robert Insall

  • 1Department of Vascular Surgery, East Kent Vascular Centre, Canterbury Hospital, Canterbury, Kent, CT1 3NG, UK. tomrix@msn.com

Annals of the Royal College of Surgeons of England
|July 10, 2010
PubMed
Summary
This summary is machine-generated.

The Rapid-Access Carotid Endarterectomy (RACE) pathway significantly reduces treatment delays for symptomatic carotid stenosis without impacting patient safety. This audit shows 50% of suitable patients were treated within 48 hours in the first year.

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Area of Science:

  • Vascular Surgery
  • Neurology
  • Public Health

Background:

  • Carotid endarterectomy (CEA) is a key treatment for symptomatic carotid stenosis.
  • The Rapid-Access Carotid Endarterectomy (RACE) pathway aims for treatment within 48 hours.
  • This study evaluates the safety and efficacy of the initial year of the RACE service.

Purpose of the Study:

  • To audit the safety and efficacy of the RACE pathway.
  • To assess the impact of RACE on treatment delays for carotid stenosis.
  • To compare outcomes between rapid-access and elective carotid endarterectomy.

Main Methods:

  • A prospective database of all CEAs was maintained.
  • Outcomes were compared between elective CEA (ECE) and RACE procedures.
  • Patient demographics, indications, and delays were analyzed.

Main Results:

  • 96 CEAs were performed; 20 were urgent (RACE).
  • Median delay was 2 days for RACE vs. 113 days for ECE.
  • Stroke rates were comparable (5% RACE vs. 1.3% ECE), with no significant difference.

Conclusions:

  • The RACE pathway effectively reduces treatment delays for symptomatic carotid stenosis.
  • Patient safety was maintained during the first year of the RACE service.
  • Further optimization can improve the percentage of patients treated within 48 hours.