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Ankara Üniversitesi Tıp Fakültesi Nöroşirürji Anabilim Dalı, Ankara One of the most common reason of stroke is the arteriosclerosis of extracranial carotid arteria. The introduction of carotid microendarterectomy as a strategy for stroke prevention has sparked prolonged controversary with respect to its safety and efficacy. In this study, techniques and results of carotid endarterectomy operations, with the comparison of medical treatment alone, will be discussed. Anahtar Kelimeler : Arteriosclerosis, carotid microendarterectomy, stroke