Marino V, et al. - In this retrospective observational study, researchers assessed and compared the rate of technical failure and the procedural time and shunt incidence between the 2 neuromonitoring strategies for patients undergoing carotid endarterectomy (CEA): general anesthesia with motor-evoked potential and somatosensory-evoked potentials (mSSEP and tcMEP) vs cooperative patients under general anesthesia (CPGA) technique. The anesthesia technique was customized according to the cerebral monitoring needs. They found that compared with asleep-awake-asleep strategy, mSSEP and tcMEP neuromonitoring was related to less technical failure and procedural time. During CEA, an alternative to awake clinical assessment could be the evoked potential neuromonitoring.