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Perspectives in Vascular Surgery and Endovascular Therapy
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Current Technique for Carotid Endarterectomy

Steven S. Kang

Department of Surgery, Loyola University Stritch School of Medicine, Maywood, IL

William H. Baker

Department of Surgery, Loyola University Stritch School of Medicine, Maywood, IL

Our current technique for carotid endarterectomy is presented. Modifications have been made over the past 20 years. These include never shunt ing to selective shunting based on stump pressures, primary closure to vein patch closure to prosthetic patch closure, and intraoperative duplex scanning to detect technical defects. Nonetheless, the underlying principle of striving for technical perfection has resulted in excellent results despite variations in the technique.

Key Words: Carotid stenosis • endarterectomy • stroke

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 10, No. 2, 79-88 (1999)
DOI: 10.1177/153100359901000211
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