Piazza M, et al. - Early outcomes of carotid endarterectomy (CEA) were evaluated in asymptomatic patients using a standardised technique based on routine shunting after rapid plaque removal (“delayed”) via performing a retrospective review of all asymptomatic patients who underwent CEA during a 10 year single centre experience (January 2007–December 2016). Findings suggest safety and efficacy of routine delayed shunting associated with standardisation of the technique. It was observed contributing to maintaining the RNCR < 1% over time and independently from operators and other clinical factors.