Carotid Artery Endarterectomy

A surgical procedure to remove fatty deposits, also called atherosclerotic plaques, from the carotid artery. This artery travels through the neck and carries oxygen-rich blood to the brain.

Parts of the Body Involved

Carotid arteries located in the neck

Reasons for Procedure

To help prevent stroke and transient ischemic attacks (TIAs) by restoring adequate blood flow to the brain. A TIA is a mini stroke caused by a temporary blockage in an artery.

Risk Factors for Complications during the Procedure

Presence of these health issues:
  • Obesity
  • Smoking
  • Excess alcohol consumption
  • Diabetes
Use of the following medications:
  • Antihypertensives (high blood pressure medication)
  • Insulin
  • Muscle relaxants and sedatives
  • Mood-altering drugs
Carotid endarterectomy is not recommended for people with these conditions:
  • Recent heart attack
  • Dementia
  • Angina
  • Advanced malignancy
  • Less than 50% artery blockage

What to Expect

Prior to Procedure

Your doctor will likely do the following:
  • Blood and urine samples
  • Electrocardiogram (ECG, EKG)

Outcome

The average recovery time is 2 weeks.

Successful completion of this procedure reduces the risk for stroke. In addition, any previous problems with vision loss, or leg or arm weakness or numbness should be improved or eliminated.

Call Your Doctor If Any of the Following Occurs

  • Signs of infection, including fever and chills
  • Redness, swelling, increasing pain, excessive bleeding, or discharge at the incision site
  • Cough, shortness of breath, chest pain, or severe nausea or vomiting
  • Memory loss or problems with vision
  • Difficulty speaking or moving
  • Weakness
  • Arm pain
  • Extreme sweatiness
  • Dizziness