The carotid artery brings necessary blood to your brain and face. You have actually one of this arteries on each side of her neck. Blood flow in this artery can come to be partly or totally blocked by fat material dubbed plaque. This deserve to reduce the blood it is provided to your brain and reason a stroke.

You are watching: The surgical removal of the lining of an artery leading to the brain that is clogged with plaque

Carotid artery surgical procedure is done to restore appropriate blood flow to the brain. There room two actions to treat a carotid artery that has plaque buildup in it. This short article focuses ~ above a surgery called endarterectomy. The other method is called angioplasty v stent placement.


Description


During carotid endarterectomy:

You lie on your earlier on an operating table v your head turned to one side. The side her blocked carotid artery is on encounters up.The surgeon provides a cut (incision) on her neck over your carotid artery. A flexible tube (catheter) is put in the artery. Blood flows through the catheter about the blocked area throughout surgery.Your carotid artery is opened. The surgeon removes the plaque within the artery.After the plaque is removed, the artery is closed with stitches. Blood currently flows with the artery to your brain.Your heart activity will it is in monitored carefully during surgery.

The surgical treatment takes about 2 hours. After ~ the procedure, her doctor might do a check to confirm that the artery has actually been opened.


Why the Procedure is Performed


This procedure is done if your physician has discovered narrowing or a blockage in your carotid artery. Her health care provider will have done one or much more tests come see how much the carotid artery is blocked.

Surgery to remove the buildup in your carotid artery may be excellent if the artery is narrowed by much more than 70%.

If friend have had actually a punch or temporary mind injury, her provider will think about whether dealing with your clogged artery with surgical treatment is safe for you.

Other treatment choices your provider will discuss with girlfriend are:

No treatment, other than exam to inspect your carotid artery every year.Medicine and diet to lower your cholesterol.Blood-thinning drugs to lower your danger for stroke. Few of these drugs are aspirin, clopidogrel (Plavix), dabigatran (Pradaxa), and warfarin (Coumadin).

Carotid angioplasty and stenting is most likely to be offered when carotid endarterectomy would certainly not it is in safe.


Risks


Risks of anesthesia are:

Allergic reactions to medicines

Risks the carotid surgical procedure are:

Brain damageMore blockage the the carotid artery over timeStrokeSwelling close to your airway (the tube you breath through)Infection

Before the Procedure


Your provider will execute a thorough physics exam and also order several medical tests.

Tell your provider what medications you room taking, even medicines, supplements, or herbs girlfriend bought there is no a prescription.

During the 2 weeks prior to your surgery:

A few days before the surgery, you might need to avoid taking blood-thinning drugs. These incorporate aspirin, ib frames (Advil, Motrin), clopidogrel (Plavix), naprosyn (Aleve, Naproxen), and also other drugs prefer these.Ask her provider which drugs you need to still take it on the day of your surgery.If girlfriend smoke, you have to stop. Ask her provider for aid quitting.Tell your provider about any cold, flu, fever, herpes breakout, or other disease you might have before your surgery.

Follow accuse on as soon as to prevent eating and drinking prior to surgery.

On the job of your surgery:

Take any kind of medicines your provider prescribed through a tiny sip that water.Follow indict on when to come at the hospital. Be sure to arrive on time.

After the Procedure


You may have a drain in her neck that goes into your incision. It will drain fluid the builds increase in the area. It will be gotten rid of within a day.

After surgery, your provider might want you to continue to be in the hospital overnight so that nurses have the right to watch girlfriend for any type of signs of bleeding, stroke, or bad blood flow to your brain. Girlfriend may be able to go home the very same day if your procedure is done beforehand in the day and also you room doing well.

Follow instructions on just how to take treatment of you yourself at home.


Outlook (Prognosis)


Carotid artery surgical procedure may help lower your opportunity of having a stroke. However you will have to make lifestyle alters to assist prevent plaque buildup, blood clots, and also other difficulties in your carotid arteries end time. You may need to readjust your diet and also start an exercise program, if your provider speak you exercise is for sure for you. The is additionally important to protect against smoking.


Alternative Names


Carotid endarterectomy; CAS surgery; Carotid artery stenosis - surgery; Endarterectomy - carotid artery


Patient Instructions


Images


References


Arnold M, Perler BA. Carotid endarterectomy. In: Sidawy AN, Perler BA, eds. Rutherford"s Vascular Surgery and also Endovascular Therapy. Ninth ed. Philadelphia, PA: Elsevier; 2019:chap 91.

Biller J, Ruland S, Schneck MJ. Ischemic cerebrovascular disease. In Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley"s Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 65.

Brott TG, Halperin JL, Abbara S, et al. 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS tip on the management of patients through extracranial carotid and vertebral artery disease: executive, management summary: a report the the American college of Cardiology Foundation/American heart Association Task force on exercise Guidelines, and also the American punch Association, American association of Neuroscience Nurses, American combination of Neurological Surgeons, American college of Radiology, American society of Neuroradiology, congress of Neurological Surgeons, society of Atherosclerosis Imaging and also Prevention, society for Cardiovascular Angiography and Interventions, culture of Interventional Radiology, society of NeuroInterventional Surgery, culture for Vascular Medicine, and culture for Vascular Surgery. Developed in cooperation with the American Academy of Neurology and society of Cardiovascular Computed Tomography. Catheter Cardiovasc Interv. 2013;81(1):E76-E123. PMID: 23281092 pubmed.ncbi.nlm.nih.gov/23281092/.

Brott TG, Howard G, Roubin GS, et al. Irreversible results the stenting matches endarterectomy for carotid-artery stenosis. N Engl J Med. 2016;374(11):1021-1031. PMID: 26890472 pubmed.ncbi.nlm.nih.gov/26890472/.

See more: 2013 Ford Explorer Door Panel Removal, How To Replace Door Panel 95

Holscher CM, Abularrage CJ. Carotid endarterectomy. In: Cameron AM, Cameron JL, eds. Current surgical Therapy. 13th ed. Philadelphia, PA: Elsevier; 2020:928-933.