Abstract
We review our recent experience of carotid endarterectomy (CEA) for 30 patients with severe carotid artery stenosis. In this report, we emphasize the importance of critical management before, during, and after surgery to reduce or remove the incidence of perioperative complications. Especially, we should carefully manage the patients who are at higher risk for hyperperfusion syndrome and those with complications of serious coronary artery disease. We also describe our surgical technique and results.