The aim of this study is to understand that the regular history of atherosclerotic normal carotid supply route impediment and ideal treatment of these patients is as yet muddled. The point of this review study was to assess the quick and long haul results of axillary to carotid detour with polytetrafluoroethylene join for suggestive patients with constant normal carotid course impediment. From March 2001 to December 2017, 58 indicative patients (41 men; mean age 64.7 years) with constant normal carotid supply route impediment went through axillary to carotid detour at one scholarly medical clinic. The clinical information of this patient associate were reflectively broke down. The total join patency, by and large endurance, independence from side effects, and independence from ipsilateral stroke were determined with Kaplan-Meier technique. 33 patients gave transient ischemic assault and 25 patients gave minor stroke. At 30 days after sidestep, the by and large perioperative complexity rate was 3.4% (2/58). Gentle wounds of brachial plexus happened in one (1.7%) patient and myocardial localized necrosis happened in one (1.7%) patient. No perioperative stroke or passing happened. The middle follow-up was 51 months (range, 12-203) for this series.