Abstract: To the Editor:Since the first carotid endarterectomy (CEA) in the world was done by Debakey in 1953,the number of CEA has seen an extensive growing trend.Especially in the 1990s,North American Symptomatic Carotid Endarterectomy Trial and European Carotid Surgery Trial confirmed that CEA is the gold standard for the treatment of carotid stenosis.This procedure had become a new approach to prevent ischemic stroke.