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Table 3 Outline of baseline and follow-up appointments including investigations required and target time window

From: The 2nd European Carotid Surgery Trial (ECST-2): rationale and protocol for a randomised clinical trial comparing immediate revascularisation versus optimised medical therapy alone in patients with symptomatic and asymptomatic carotid stenosis at low to intermediate risk of stroke

Visit/follow-up

Investigations

Target time window

Baseline

Brain MRI

14 days in symptomatic stenosis or 28 days in asymptomatic stenosis before or after randomisation, done before any revascularisation procedure

Initial carotid imaging

120 days before randomisation up to the day of randomisation

Confirmatory second carotid imaging

14 days before randomisation up to the day of randomisation

Clinical assessment, blood pressure

Baseline blood lipids and glucose, serum troponin levels

ECG

MoCA, EQ-5D, RFA

14 days before randomisation up to the day of randomisation

Post-procedure visit in revascularised patients only

Clinical assessment, blood pressure

Troponin and ECG

Day of treatment +48 h ±24 h

4–6 weeks post-randomisation

Clinical assessment, blood pressure

MoCA, EQ-5D, RFA

Day of treatment +30 days ±7 days in revascularised patients

ECG and troponin in the OMT arm

Day of randomisation +42 days ±7 days in OMT only patients

Carotid ultrasound in revascularised patients

Day of treatment +30 days ±7 days

Brain MRI (optional)

Day of treatment +30 days ±7 days in revascularised patients

Day of randomisation +42 days ±7days in OMT only patients

3 months post-randomisation

Telephone follow-up

Day of randomisation +90 days ±14 days

6 months post-randomisation

Clinical assessment, blood pressure

EQ-5D, RFA

Fasting lipids and glucose

Day of randomisation +180 days ±14 days

Annual follow-up

Clinical assessment, blood pressure

EQ-5D, RFA

Fasting lipids and glucose

Carotid ultrasound

MoCA and brain MRI at 2 and 5 years

Day of randomisation +X years ±1 month

Bi-annual telephone follow-up

Telephone follow-ups between annual follow-ups

Day of randomisation +X years +6 months ±1 month