{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:16:17Z","timestamp":1761822977810},"reference-count":85,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[1992,8,1]],"date-time":"1992-08-01T00:00:00Z","timestamp":712627200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1992,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Two recently published multicentre trials have confirmed the overall benefit of carotid endarterectomy in symptomatic patients with severe carotid artery disease. The key to improving further the long-term advantages of carotid endarterectomy, however, remains the continued reduction of the initial operative risk, While the principal responsibility for this continues to be borne by the surgeon, specifically in reducing technical error, the time is perhaps approaching when he or she might also be able to apply some of the recent advances in cerebrovascular research to reduce operative morbidity still further in the future. This article summarizes the aetiology and pathophysiology of operation-related neurological deficits and reviews current approaches towards intraoperative monitoring, cerebral protection and assessment of quality control.<\/jats:p>","DOI":"10.1002\/bjs.1800790805","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T17:02:39Z","timestamp":1172941359000},"page":"735-741","source":"Crossref","is-referenced-by-count":47,"title":["Monitoring and cerebral protection during carotid endarterectomy"],"prefix":"10.1093","volume":"79","author":[{"given":"A R","family":"Naylor","sequence":"first","affiliation":[{"name":"Department of Surgery, Leicester Royal Infirmary , Leicester,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P R F","family":"Bell","sequence":"additional","affiliation":[{"name":"Department of Surgery, Leicester Royal Infirmary , Leicester,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C V","family":"Ruckley","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Royal Infirmary , Edinburgh,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1992,8,1]]},"reference":[{"key":"2024092811133573100_bib1","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/S0890-5096(06)60707-3","article-title":"Neurologic complications following carotid artery surgery: pathophysiology and predictive factors","volume":"1","author":"Branchereau","year":"1986","journal-title":"Ann Vasc Surg"},{"key":"2024092811133573100_bib2","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1016\/0140-6736(91)92916-P","article-title":"MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70\u201399%) or with mild (0\u201329%) carotid 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