Management of Thrombotic DiseaseComplete occlusion of the carotid artery without referable neurologic deficit requires no treatment. A patient with new neurologic deficit and an angiographically demonstrated complete carotid occlusion contralateral to the symptoms should be considered for emergency carotid endarterectomy. 11 Surgery should not be performed on obtunded or comatose patients, and should be done within 2 hours of symptom onset. This time restriction significantly reduces the number of candidates.
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