Abstract
Carotid endarterectomy is one of the evidence based surgery supported by multiple randomized clinical trials. However, its indication should be limited to surgery to be performed by the approved surgeons who has standard surgical techniques and anatomical knowledge and most of all, know how of risk management. In this paper, the following aspects of the carotid endoarterectomy are reviewed for the beginners and less experienced neurosurgeons 1) Preoperative examination and key points 2) Surgical anatomy for accurate and fast exposure of the carotid artery including surface anatomy and anatomy of important nerves and vessels. 3) Standard techniques for routine carotid endarterectomy 4) Analysis of the causes of risk and the remedies for management of these risks.
