“…9 Since the Korean War, the management of ICA injury has evolved toward preservation of the carotid circulation, usually by direct repair or interposition grafting, where feasible, with an overall mortality of 15-20%. 1,[9][10][11][12][13][14][15] In 1973, Bradley 9 introduced the stratification of patients into revascularization versus conservative therapy based on preoperative neurological condition. His conclusion was that patients who were obtunded or comatose on initial presentation have a poor prognosis, whereas awake patients, even with hemiparesis, benefit from intervention.…”