Introduction: Atherosclerotic disease in the carotid artery with significant stenosis of its lumen in patients with cerebrovascular ischemic symptoms presumes new and repetitive ischemic events; therefore, optimal medical and surgical management, both open and endovascular, seeks to reduce the severity and disability it generates in these patients. The aim is to describe the sociodemographic characteristics and risk factors, as well as to specify the surgical technique and results in the mediate postoperative period in patients undergoing carotid endarterectomy after some neurological ischemic symptoms, during the period 2018-2021 in the Fundación Cardioinfantil - laCardio. Materials and methods: Observational cross-sectional study of retrospective descriptive type, which included all patients with symptomatic carotid stenosis, candidates for early carotid endarterectomy (first 14 days after the event) information on sociodemographic characteristics and clinical outcomes were obtained from the database of the vascular surgery and angiology service. Results: We evaluated 19 patients with a median age of 77 years, 57.89% were male. Risk factors included 78.95% hypertension, 63.16% dyslipidemia, 31.58% diabetes mellitus and 10.53% coronary artery disease. stroke event with a median score of 2.5 on the NIHSS scale occurred in 73.68% of patients. The intervention time after the cerebrovascular event or ischemic symptom was performed on the seventh day. No mortality was reported during hospitalization and one patient was re-intervened in the immediate postoperative period due to surgical bleeding. Conclusions: The multidisciplinary management of patients with symptomatic carotid disease, with a team of experts in clinical diagnosis, image interpretation, medical management and surgical treatment, demonstrates favorable outcomes in the immediate postoperative period when intervention is performed within 14 days after the cerebrovascular event, regardless of the NIHSS at admission.