| Abstrakt: |
Technical requirements for performance of carotid endarterectomy are described. Patient selection is emphasized, and issues about use of shunts and patch angioplasty are described. Special management considerations-including the anatomically high carotid bifurcation, intraarterial thrombi, and postoperative stroke-are carefully reviewed. Finally, clinical activities designed to decrease length of stay for carotid endarterectomy are reported. Forty percent of patients are now being discharged home on the day of operation. |
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