Carotid Endarterectomy

consultation
What is Carotid Endarterectomy?

Carotid Endarterectomy is a surgical procedure performed to remove plaque buildup from the carotid arteries, which are the major blood vessels in the neck that supply blood to the brain. This surgery is done to prevent strokes caused by the narrowing or blockage of these arteries, a condition known as carotid artery disease (atherosclerosis). The procedure involves making an incision in the neck, opening the artery, and removing the fatty deposits or plaque that restrict blood flow.

How to diagnose Carotid Endarterectomy? When to consult a doctor?

Diagnosing the need for CEA involves several steps and tests: Medical History and Physical Examination, Carotid Ultrasound (Doppler Study), CT Angiography (CTA) or MR Angiography (MRA), Carotid Angiography & Magnetic Resonance Imaging (MRI) or Computed Tomography (CT) Scan.

You should consult a doctor if:

  • Transient Ischemic Attacks (TIAs)
  • Stroke Symptoms
  • Severe Carotid Artery Narrowing
  • History of Cardiovascular Disease
  • Family History or Risk Factors
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Causes
  • Atherosclerosis
  • Hypertension (High Blood Pressure)
  • High Cholesterol
  • Smoking
  • Diabetes
Symptoms
  • Sudden weakness or numbness, especially on one side of the body.
  • Difficulty speaking or understanding speech.
  • Sudden vision changes in one or both eyes.
  • Sudden weakness or numbness in the face, arm, or leg, especially on one side of the body.
  • Confusion, trouble speaking, or understanding language.
  • Difficulty walking, dizziness, or loss of balance and coordination.
Frequently Asked Questions

Most patients can return home within 1-2 days after surgery, and full recovery typically takes around 2-4 weeks. Patients should avoid strenuous activities during recovery.

CEA is highly effective in reducing the risk of stroke in patients with significant carotid artery narrowing, particularly those who have had previous symptoms like TIAs or minor strokes.

In some cases, patients may have narrowing in both carotid arteries, but the need for surgery on both sides depends on the severity of the narrowing and other health factors.