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Carotid endarterectomy is a surgical procedure to remove the lining and fatty obstruction of a carotid artery that has been narrowed by atherosclerosis. Atherosclerosis is the narrowing of arteries usually due to the buildup of fatty tissue. The largest and most common clinical problems associated with atherosclerosis of a carotid artery are stroke or transient ischemic attack (TIA). A carotid endarterectomy restores normal blood flow to the brain, reducing stroke or TIA risk. Before surgery, the site of narrowing is located by means of an x-ray procedure called angiography....more »
Carotid Endarterectomy: Carotid endarterectomy is the removal of plaque from a blocked carotid artery by incision through the neck.
Other medical terms related to medical conditions and procedures for Carotid Endarterectomy include:
These diseases and conditions may be treated with the surgical procedure Carotid Endarterectomy:
These non-surgical medical options may be possible alternative treatments to performing Carotid Endarterectomy:
Surgical procedure options to consider as an alternative for Carotid Endarterectomy may include these surgeries:
These surgical anesthetic requirements for the procedure Carotid Endarterectomy may include:
Possible surgical complications of Carotid Endarterectomy may include:
The prognosis for a good medical outcome: The prognosis is good for the majority of patients.
Carotid endarterectomy is a surgical procedure that removes cholesterol blockage or plaques from the carotid artery. The carotid artery is the main artery in the neck that brings blood to the head. This procedure has been widely used as a way to reduce stroke risk. Studies show carotid endarterectomy benefits certain patients whose carotid arteries are narrowed by 70 percent or more. There's some risk that the surgery may cause a stroke from blood clot that can break loose and travel to the brain, but this complication varies among surgeons and medical institutions.
Other complications also include:
Who are candidates for Carotid Endarterectomy? The procedure may be used to treat symptoms of carotid artery blockage, such as:
Seek urgent medical attention if you experience these symptoms. The symptoms may be permanent, but even if they occur briefly and then get better by themselves, they still might be a sign of a serious problem. When symptoms disappear within 24 hours or less, they are called transient ischemic attacks (TIA).
Surgery should also be done for those who have carotid artery blockages which cut off between 70-99 percent of blood flow through this major artery if they experience symptoms. There is evidence that even if there are no symptoms at all, the risk of stroke is reduced with surgery. Speak with your doctor to discuss the risks and benefits if you have no symptoms but have a significant blockage (> 60%) within your carotids.
If there is complete blockage, surgery is almost always advised because the risk of stroke and brain damage is high. X-rays using special dyes (carotid angiogram) can show the degree of blockage of the carotid arteries. Other tests such as ultrasound and magnetic resonance angiography (MRA) can indicate blockages in the carotid arteries.
Risk factors such as age, gender and other illnesses should also be considered prior to surgery....more »
What are alternatives to Carotid Endarterectomy? Carotid Angioplasty with stent placement, lifestyle changes and medical therapy are generally the first-line treatments. These include:
How do you prepare for Carotid Endarterectomy? Prior to any surgery, your doctor will give you a complete medical examination and evaluate your overall health and your health history. You may be required to get additional tests such as X-rays and lab tests. Your doctor will also review with you the potential risks and benefits of the operation and will ask you to sign a consent form. It is important that you ask questions and be sure you understand the reason for the surgery as well as the risks.
It is important that you inform your doctor if you have allergies to any medications, what medications you are taking, and if you have bleeding problems. It is also important to inform your doctor if you are pregnant.
Your doctor will also give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking, taking or avoiding certain vitamins and medications. Carefully following these instructions will help your surgery go more smoothly.
Depending on the circumstances of your surgery, you may be instructed to do the following:
What is the Carotid Endarterectomy recovery process? Following the procedure, you will spend one or two days in the hospital in an intensive care unit (ICU) or special-care post-operation unit where you will be monitored to ensure normal brain functioning, to maintain blood pressure, and to watch for any sign of bleeding from the neck area.
After discharge, you should:
You may need a medication that makes the blood less likely to clot after the surgery. In a few weeks you may be able to return to a normal lifestyle.
Re-blockage of the carotid artery, occurs in approximately six percent of patients. To help prevent another blockage, your physician will recommend lifestyle changes, which include:
Recovery period for Carotid Endarterectomy: Two to four weeks.
What is the cost of Carotid Endarterectomy? A variety of factors may influence the cost of the surgery. They include:
These factors vary depending on you and your situation.
The cost of each procedure can vary dramatically based upon age, location, gender, and insurance coverage. HealthGrades provides detailed cost estimates which include the costs of the procedure, drugs, hospital stay, and more. Each cost estimate is easy to understand and provides medical terms you need to know.
The detailed cost estimate for Carotid Endarterectomy, includes costs for:
Where can I find a Carotid Endarterectomy doctor or surgeon? Carotid Endarterectomy is typically performed by doctors specializing in Vascular Surgery. Nationally, there are 4226 practicing Vascular Surgeons. HealthGrades offers detailed physician reports to help you find a qualified Carotid Endarterectomy doctor or surgeon in your area, which includes disciplinary actions, patient feedback, background information, and more. Start your search now!
Other names for this medical surgical procedures (Carotid Endarterectomy) include:
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