BACKGROUND: Carotid endarterectomy remains the most effective surgical treatment for reducing the risk of stroke in patients with significant carotid stenosis. In fact, endovascular approach is associated with a higher incidence of perioperative and long-term minor stroke when compared to carotid endarterectomy although long-term functional outcome and risk of major stroke are similar. However, advanced age resulted to be associated with an increased risk of complications after carotid endarterectomy. Therefore we decided to evaluate the outcome of carotid endarterectomy in octogenarians in our high-volume centre.METHODS: Data of all patients who underwent CEA between June 2009 and December 2014 were retrospectively recorded. Patients were categorized as