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Objective: To evaluate the routine use of Brener shunt during carotid endarterectomy (CEA)., Methods: A prospective audit of the results of 58 consecutive CEA was performed, with routine use of Brener shunt in surgical hospital, Rostock university in Germany. Intraoperative and postoperative complications of CEA were reviewed., Results: In this study, the successful rate of insertion of shunt was 100%. The perioperative stroke/death rate at 30 days was 0, but the TIA rate was 2 cases (3.5%), which was related with previous stroke and contralateral internal carotid occlusion. 2 cases (3.5%) had minor operative complications., Conclusions: The routine use of Brener shunt has a less rate of intraoperative and early postoperative neurologic complications during CEA. But experience in a large number of shunting procedure is needed.