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What exactly is "endarterectomy" in coronary artery bypass surgery?

4 doctors weighed in
Dr. Shahin Tavackoli
Internal Medicine - Cardiology
3 doctors agree

In brief: Rare!

Endarterectomy is not commonly performed during coronary artery bypass grafting; but in the strict sense of it, it is the removal of the plaque and really part of the inside wall of the artery during the operation.
This by the way, is the common way of clearing the carotid arteries (arteries in the neck).

In brief: Rare!

Endarterectomy is not commonly performed during coronary artery bypass grafting; but in the strict sense of it, it is the removal of the plaque and really part of the inside wall of the artery during the operation.
This by the way, is the common way of clearing the carotid arteries (arteries in the neck).
Dr. Shahin Tavackoli
Dr. Shahin Tavackoli
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1 comment
Dr. Mario Matos-Cruz
Sometimes coronary endarterectomy may be required as the last high risk attemp at coronary revascularization. However, acute coronary thombosis may occur depending on the extent..
Dr. Mario Matos-Cruz
Surgery - Thoracic

In brief: Endarterectomy

A microsurgical arteriotomy is done on the affected coronary.
The atheromatous plaque is removed with microvascular instruments, i normally use 5.5x magnification. The arteriotomy is then closed with a vein patch angioplasty or the distal end of a mammary artery or vein graft bypass using 8-0 or 7-0 microsurgical vascular sutures.

In brief: Endarterectomy

A microsurgical arteriotomy is done on the affected coronary.
The atheromatous plaque is removed with microvascular instruments, i normally use 5.5x magnification. The arteriotomy is then closed with a vein patch angioplasty or the distal end of a mammary artery or vein graft bypass using 8-0 or 7-0 microsurgical vascular sutures.
Dr. Mario Matos-Cruz
Dr. Mario Matos-Cruz
Thank
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