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  1. Apr 2020
    1. Otherwise, carotid shunting should be done selectively as in elective carotid endarterectomy, but the patient should be systemically anticoagulated. Currently, we administer heparin with an ACT target of 250 sec.

      in elective endarterectomy doing carotid shunt should be considered after getting systemically antigoagulation with heparinn for 250 sec ACT goal