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September 1995

Carotid Endarterectomy: Principles and Techniques

Author Affiliations

Little Rock, Ark

Arch Surg. 1995;130(9):1021. doi:10.1001/archsurg.1995.01430090107031

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This book is about my favorite operation, carotid endarterectomy. The author has provided us with a very personal how-to expository atlas of step-by-step details in the performance of an operation that is regaining favor after its exoneration by recent multicenter randomized clinical trials. The text is divided into three sections. First is a narrative overview of fundamentals, including indications and contraindications for carotid endarterectomy, basic operative techniques (including anesthesia, monitoring, shunting, and endarterectomy details), postoperative management, and complications. A second section depicts a wide range of carotid lesions on conventional cut-film four-vessel arteriograms of high quality. The final section consists of a detailed series of color intraoperative photographs and accompanying line drawings that, along with generous narrative comments, describe in great detail the sequential steps in performing a standard carotid endarterectomy and its several variations.

Despite the readability of the personal, anecdotal style of the narrative, there are a number

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