Carotid Endarterectomy is a surgical operation used to treat carotid artery disease. This therapy increases blood flow via the carotid arteries by eliminating plaque inside the affected artery. It is where a vascular surgeon inserts a thin, metal-mesh tube, known as a stent, which stretches within your carotid artery to enhance blood flow in places obstructed by plaque.
When Should A Carotid Endarterectomy Be Performed?
Carotid Endarterectomy is performed to restore normal blood flow to the brain and prevent a stroke if you already have evidence of reduced blood flow. Carotid endarterectomy may also be performed as a preventative measure if a diagnostic test, such as a carotid ultrasound reveals substantial blockage that is likely to cause a stroke. Your arteries may get clogged again if the underlying disease, such as a high cholesterol level, is not treated and new plaque builds up.
What You Should Expect Before The Procedure
Your physician will do a comprehensive physical examination and prescribe several medical tests. During the two weeks before the surgery, your must:
- Inform your physician about any medications you take, including supplements or herbs purchased without a prescription.
- Discontinue using blood-thinning medications a few days before the procedure, such as Aspirin, Ibuprofen, Clopidogrel, Naprosyn.
- Inquire with your physician about which medications you should continue to take on the day of your operation.
- Before your operation, notify your physician if you have a fever, flu, herpes outbreak, cold, or other illnesses.
What You Can Expect During The Procedure
During the Carotid Endarterectomy surgery, you can expect the medical team to assist you in transferring to the operation table and becoming comfortable. They will attach monitors, wipe your skin, and cover your body. The anesthesiologist administers anaesthesia, which causes you to fall asleep and not experience any discomfort. Then, a breathing tube is put into your neck and windpipe to provide oxygen to your lungs.
You are linked to a ventilator machine that will breathe for you during the operation. To eliminate the plaque and restore the artery, your surgeon performs a cut in your neck. A drain will be inserted into your neck. It is a tiny tube placed in the neck to drain blood into a palm-sized suction bulb. It is removed the following day after the treatment.
