Routine or selective carotid artery shunting for carotid endarterectomy (and different methods of monitoring in selective shunting).

Temporary interruption of cerebral blood flow during carotid endarterectomy can be avoided by using a shunt across the clamped section of the carotid artery. This may improve outcome. This is an update of a Cochrane review originally published in 1996 and previously updated in 2009.