If carotid endarterectomy isn't the best option for you, you might have a procedure called carotid angioplasty and stenting instead of carotid endarterectomy. In this procedure, doctors thread a long hollow tube catheter with a small balloon attached through a blood vessel in your neck to the narrowed artery.
The balloon is then inflated to widen the artery. A metal mesh tube stent is often inserted to decrease the chance of the artery narrowing again. For carotid endarterectomy surgery, you may be given a numbing medication. Or you may be given general anesthesia that puts you in a sleep-like state. Your surgeon will make a cut along the front of your neck, open your carotid artery, and remove the plaque deposits clogging your artery. Then your surgeon will repair the artery with stitches or a patch made with a vein or artificial material.
Your surgeon might use another technique that involves cutting the carotid artery and turning it inside out, then removing the plaque. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions.
Carotid endarterectomy care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Overview Carotid endarterectomy is a procedure to treat carotid artery disease. Carotid artery Open pop-up dialog box Close. Carotid artery The carotid arteries are a pair of blood vessels located on both sides of your neck that deliver blood to your brain and head.
Carotid angioplasty Open pop-up dialog box Close. Carotid angioplasty In carotid angioplasty, a long, hollow tube catheter is threaded through the arteries to the narrowed carotid artery in the neck. The surgeon then places a small, expandable tube called a stent to keep the artery open.
However, if you have not experienced any symptoms of carotid artery disease, surgery might not be the best treatment option, explains vascular surgeon Benjamin Jackson, MD. In many cases, we can help these patients manage their disease with conservative options and without surgery. For many patients, lifestyle changes and medications for carotid artery disease may be the best treatment.
This is especially true for patients for whom surgery would be difficult or unsafe, like those who have had prior neck surgery, radiation or heart issues. However, Dr. If there is narrowing of the carotid artery, carotid endarterectomy or carotid stenting are very effective at reducing the risk of another or more catastrophic stroke.
This team approach is a big benefit for patients, says Dr. This fosters innovation and gives patients access to expert care with a full range of options beyond surgery. About this Blog. Date Archives Year Share This Page: Post Tweet. Find a Program or Service. Catheter Cardiovasc Interv.
PMID: pubmed. Long-term results of stenting versus endarterectomy for carotid-artery stenosis. N Engl J Med. Current Surgical Therapy. Philadelphia, PA: Elsevier; Review provided by VeriMed Healthcare Network. Editorial team. Carotid artery surgery - open. During carotid endarterectomy: You receive general anesthesia. You are asleep and pain free. Some hospitals use local anesthesia instead. Only the part of your body being worked on is numbed with medicine so that you do not feel pain.
You are also given a medicine to help you relax. You lie on your back on an operating table with your head turned to one side. The side your blocked carotid artery is on faces up. The surgeon makes a cut incision on your neck over your carotid artery.
A flexible tube catheter is put in the artery. Blood flows through the catheter around the blocked area during surgery. Your carotid artery is opened. The surgeon removes the plaque inside the artery. After the plaque is removed, the artery is closed with stitches. Blood now flows through the artery to your brain. Your heart activity will be monitored closely during surgery.
Why the Procedure is Performed. Other treatment options your provider will discuss with you are: No treatment, other than tests to check your carotid artery every year.
Medicine and diet to lower your cholesterol.
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