ABSTRACT
Carotid endarterectomy (CEA) is one of the few surgical procedures to be subjected to level I scientific scrutiny (1-3). Yet, despite this, there remain a number of controversial issues to be resolved. This chapter reviews the evidence regarding the relationship between volume of surgery and outcome, generalizability of trial data to current clinical practice, choice of anesthesia, shunt and patch usage, technique of endarterectomy, the role of perioperative monitoring, optimal perioperative antiplatelet therapy, and the role of surveillance and intervention for recurrent carotid stenosis.
