Journal of vascular surgery
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This study is an analysis of the outcome of a common method of management of the external carotid artery (ECA) during routine carotid endarterectomy (CEA). ⋯ Combined proximal eversion technique and blind distal ECA endarterectomy during routine CEA gives poor and unacceptable early and late outcomes. The repair of severely obstructed or occluded ECA identified during surgery after CEA has a similarly poor outcome. The technique and management of the ECA during routine CEA needs further investigation and modification.