The clock, the gender, and carotid surgery — Barbara Rantner breaks it down

During one of the "Carotid" sessions at PVI 2024, Barbara Rantner revisited the ongoing debate surrounding carotid endarterectomy, focusing on two key factors: gender and timing.

A recent study has highlighted a significant decline in outcomes for women when surgery is performed more than two weeks after the onset of symptoms. This finding has reignited discussions around how timing may disproportionately affect certain patient groups.

At the same time, registry data continue to show conflicting results regarding gender-based differences in outcomes following carotid revascularisation—whether by endarterectomy or carotid artery stenting. And while timing appears to play a critical role, most of the available evidence comes from post hoc analyses; robust randomised data are still lacking.

Barbara Rantner explores the nuances of these findings and the clinical implications still under debate.

Watch this short interview to hear her perspective!