Stroke Training and Awareness Resources (STARs)



The effectiveness of carotid endarterectomy in symptomatic patients

Risk animation showing risk with and without surgery in symptomatic patients

Day of TIA < 1 month 1 month – 1 Year 1 – 2 Years
Risk of stroke without CEA 0 5 20 30
Risk of stroke with CEA 0 5 10 14
Number prevented in period 0 0 10 6
Cumulative number prevented 0 0 10 16
Based on the animation above, which of the following statements are correct?
Correct statements
  • The risk of stroke in the first month after surgery is 5%
  • Surgery is likely to prevent more strokes if performed earlier after a TIA or stroke
  • Carotid endarterectomy should be performed within 2 weeks of the last event
  • Surgery at least halves the risk of stroke over 2 years
  • For every 100 operations about 16 would avoid a stroke in the next two years
Incorrect statements
  • An individual has a 1 in 2 chance of benefit from surgery in first 2 years

Page last reviewed: 22 Apr 2022