Kuhrij LS, et al. - Factors causing hospital dependent delay to carotid endarterectomy (CEA) were investigated via analyzing 8,620 consecutive patients with symptomatic carotid stenosis undergoing CEA registered in the mandatory Dutch Audit for Carotid Interventions from January 2014 up to and including December 2017. The median time to CEA of 11 days (IQR 8–14) was reported. CEA was performed within 14 days of first hospital consultation in 76% of patients. Age (OR 0.99 per year), any previous CEA (OR 1.67), ocular symptoms as index event (OR 1.31), and indirect referral (OR 1.53) were the identified factors associated with a hospital dependent waiting time longer than 14 days. High volume hospitals vs middle and low volume hospitals had a similar hospital dependent waiting time. However, there were more indirect referrals in high volume hospitals, suggesting that their logistics are more efficiently organized.