Erebouni Medical Center
Medical Journal Erebouni

Carotid artery endarterectomy

Carotid artery endarterectomy

Your doctor may recommend you get a carotid endarterectomy if your carotid arteries are narrowed or blocked with plaque. In your neck are two major blood vessels called the carotid artery that carry oxygen reach blood from your heart to your brain. You can feel the pulse of the carotid artery inside of your neck. Fatty deposits called atherosclerotic plaques can build up inside of carotid artery. These plaques can narrow the passage way of the artery and interfere with blood flow to the brain. This blockage or narrowing is called a stenosis. If blood flow to the brain is blocked temporarily the transient ischemic attack also known as TIA may occur. When the blood flow is completely obstructed as in carotid artery blockage a stroke can occur.

Before a procedure an intravenous line will be started. A carotid endarterectome is usually done under general anesthesia which will put patient to slip for the duration of the procedure. In this case a breathing tube will be inserted into your mount to help you breath during the operation. Sometimes the carotid endarterectomy is done with local anesthesia. If local anesthesia is used you will remain awake, but your neck will be numbed. You will probably also receive some sedation.

On a side of your neck along the blockage artery the surgeon will make an incision which may run just behind the ear to the point that about collarbone.

Your surgeon will find the carotid artery and temporarily clump of blood flow through it. Your surgeon will open up your artery and make temporary bypass to keep blood flowing to the brain. Your surgeon then will remove the plaque within the arterial wall. After the blockage has been removed he will sеw artery wall back together usually placing the patch. The patch may be made of part of one of your veins or an artificial material such as Dacron. Finally your surgeon will close an incision with staples and cover it with bandages. The temporarily drain is frequently left in the wound.

After the procedure you will be taken to the recovery area where the staff will monitor your vital signs and neurologic condition. You will be given pain medication as needed and gradually progress from liquid to solid diet.


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