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carotid endarterectomy
This is a procedure to open and clean out the carotid artery, with the goal of decreasing the likelihood of stroke.  The artery is "cross clamped" around the area of the lesion, and the artery is opened between the clamped areas.  Sometimes the surgeon will place a shunt to bypass the cross clamped artery, and thus preserve flow to the brain.  Sometimes the surgeon will use "burst suppression" to protect the brain.  Once the artery is cleaned out, the wall of the vessel is sewn closed.

 

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