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Impact of Microembolism and Hemodynamic Changes in the Brain During Carotid Endarterectomy Stroke 25:992-997, Jansen,C.,et al, 1994 See this aricle in Pubmed Article Abstract Embolic signals detected by transcranial Doppler monitoring in the dissection phase of carotid endarterectomy show a significant relation to new ischemic lesions and therefore are potentially harmful.The phenomenon should alert the vascular surgeon.

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