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Developing Operative Strategy
Carotid Endarterectomy with Shunt
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allows amaurosis fugax anastomosis aneurysm angiography aortic arch arterial wall arteriogram arteriotomy arteriotomy is closed artery Figure asymptomatic atheroma atherosclerosis brachiocephalic brain bruits bypass carotid bifurcation carotid body carotid body tumor carotid bulb carotid endarterectomy carotid occlusion cerebral cerebrovascular disease cervical collateral common carotid artery completed stroke dilatation distal internal carotid duplex scan emboli endarterec endarterectomy plane extended extraction endarterectomy fibromuscular disease hypoperfusion innominate artery internal carotid artery intima intracranial ipsilateral ischemia Lateral carotid arteriogram left common carotid left subclavian lesion lumen major mobilized natural history neck nerve neurologic deficits normal occluding clamp Operative photograph pathology patients performed posterolateral procedure prosthetic proximal clamp proximal common carotid radiation arteritis removed resected restenosis rotid segment shown in Figure skin crease stenosis sternocleidomastoid muscle stump pressure subclavian artery supraclavicular incision surgeon surgical suture line symptoms technique tery thrombus tients tion tomy transected treatment ulcer vascular surgery vertebral artery vertebral orifice