How is an endarterectomy performed

Endarterectomy is the surgical removal of plaque from the walls of an artery. Endarterectomy can be performed on various arteries in the body but is most commonly done on the internal carotid artery in the neck.

How is carotid endarterectomy performed?

A carotid endarterectomy is performed in a sterile surgical suite or standard operating room. You may go home the same day or stay 1–2 nights after the procedure depending on your medical condition. You receive a local anesthetic or general anesthesia. Your vascular surgeon makes an incision at the front of your neck.

What is endarterectomy surgery?

[edit on Wikidata] Endarterectomy is a surgical procedure to remove the atheromatous plaque material, or blockage, in the lining of an artery constricted by the buildup of deposits.

How effective is an endarterectomy?

Endarterectomy has also been shown to be somewhat effective in selected patients with luminal stenosis in the 50% to 69% range. 33,34 However, patients must be carefully chosen because neurologic and cardiac morbidity and mortality are significant risks.

What to expect after carotid endarterectomy surgery?

What you can expect. For carotid endarterectomy surgery, you may be given a numbing medication. Or you may be given general anesthesia that puts you in a sleep-like state. Your surgeon will make a cut along the front of your neck, open your carotid artery, and remove the plaque deposits clogging your artery.

How dangerous is carotid endarterectomy?

There are some serious carotid endarterectomy risks that come to mind when discussing this procedure. Some of the carotid endarterectomy risks or side effects include that of a heart attack, strokes, internal bleeding, sudden changes in blood pressure, rapid breathing, breathing difficulties and in some cases even death.

What can I expect during recovery from carotid endarterectomy?

At home, your recovery from carotid endarterectomy surgery can take a couple weeks. When you leave the hospital your doctors will provide you with discharge instructions, which include information on caring for your incision, complications to watch out for and directions for taking any medications you may need.

What is the optimal timing for carotid endarterectomy?

CHICAGO, Illinois, December 2017 – A newly published analysis suggests that the optimal timing of a carotid endarterectomy is after 48 hours but within the first week after a major or minor stroke.

Which patients should consider carotid endarterectomy (CEA)?

The committee recommends carotid endarterectomy (CEA) as first line treatment for most symptomatic patients with stenosis 50% to 99% and asymptomatic patients with stenosis 60% to 99%. The perioperative risk of stroke and death in asymptomatic patients must be below 3% to ensure benefit for the patient.