Carotid artery surgery is a procedure to restore proper blood flow to the brain.
The carotid artery brings needed blood to your brain and face. You have one of these arteries on each side of your neck. Blood flow in this artery can become partly or totally blocked by fatty material called plaque. This can reduce the blood supply to your brain and cause a stroke.
There are 2 procedures to treat a carotid artery that has plaque buildup in it. This article focuses on a surgery called endarterectomy. The other method is called angioplasty with stent placement.
Carotid endarterectomy; CAS surgery; Carotid artery stenosis - surgery; Endarterectomy - carotid artery
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.
The surgery takes about 2 hours. After the procedure, your doctor may do a test to confirm that the artery has been opened.