Can a person have prophylactic carotid endarterectomy?

Yes. In general a carotid endarterectomy is done to prevent a person from having a stroke. There are criteria for symptomatic as well as a symptomatic patients. Either way the purpose of the operation is to prevent a stroke.
Depends. This all depends on what your definition of prophylactic means. If you mean "asymptomatic", then yes. We recommend a carotid endarterectomy for people who have a narrowing of >80% even if they have not had any symptoms. If you have carotid stenosis of <80%, the medical management with aspirin/plavix and a statin (cholesterol lowering med) is sufficient. An annual ultrasound for surveillance also.

Related Questions

How effective is carotid endarterectomy?

Very. We use the endpoint of stroke to define how effective carotid surgery is. Endarterectomy reduces the risk of stroke from 26% to 9% in patients with high grade stenosis (narrowing) who have had mini-strokes or strokes in the past. In people who have not suffered mini-strokes or strokes but have a high grade stenosis, endarterectomy reduces risk of stroke from 10% to less than 5%. Read more...
Remarkably. Carotid endartectomy (cea) is a scientifically proven, remarkably effective procedure which prevents stroke in patients with symptomatic carotid stenosis or high grade asymptomatic stenosis. It is a very durable and long lasting procedure and has a very high success rate when performed by an experienced vascular surgeon. Read more...
Carotid repair? Carotid endarterectomy has been considered the gold standard for repair of carotid narrowing against which any newer method of repair is compared. It is considered very effective in good hands. Read more...

Any lethal complications to carotid endarterectomy?

Plenty. Most dreaded complication is a stroke, and a minority of these can be lethal. In some patients, bleeding in the surgical bed can lead to a collection of blood/fluid that generate enough pressure to impair airway function, this is a life threatening condition. Heart attacks, pulmonary emboli and arterial dissection can also happen, but fairly rairly. Read more...
Yes. Death can be a complication of carotid surgery but this is very rare. Most people that have carotid disease have coronary heart disease as well. This is why most people need cardiac evaluation prior to carotid surgery. Carotid surgery should be done by a board certified vascular surgeon who has a track record of very low stroke rate and mortality. Read more...

Is stenting or carotid endarterectomy better?

Endarterectomy. I like to do surgical endarterectomy to remove the plaque rather leave it in the artery itself. Read more...
Experience . Of the operator of major importance. I have been doing carotid stents since 1999 and have a very low stroke rate that equals or surpasses endarterectomy at my hospitals. Ask your doctor. Read more...
Depends. The gold standard is carotid endarterectomy cea but mutiple studies shows that stenting is not inferior to cea. Mutiple factors plays role in outcome including symptomatic patients where cea is better , age of the patient where cea is better in 80 years and older. People with previous cea , people with high risk disease like severe coronary artery disease or bad lungs better have stenting. Read more...
Endartectomy better. Carotid endartectomy (cea) is a scientifically proven, remarkably effective procedure which prevents stroke in patients with symptomatic carotid stenosis or high grade asymptomatic stenosis. It is a very durable and long lasting procedure and has a very high success rate when performed by an experienced vascular surgeon. Stenting is only appropriate in certain, special situations. Read more...
Typically CEA. I am a vascular surgeon and preform both procedures. Typically a carotid endarterectomy is preferred over carotid stenting unless you have had a previous carotid endarectomy, radiation therapy to the neck for cancer, a high burfication of the internal carotid artery making the surgery difficult or the patients overall health status making them to unhealthy to undergo an operation. Read more...
Carotid intervention. CEA has lower stroke risk than stent, stent has lower risk of MI and cranial nerve injury. Each suitable at times. Best to go to provider that can do either. CEA generally better for standard risk patients, stent generally best if patient has had neck radiation, tracheostomy, or prior CEA. Can get biased view if provider can only do one or the other. Go to someone that can advise on risk/benefit. Read more...

How effective is a carotid endarterectomy for treating a stroke?

Prevents, doesn't tx. While it's semantics, carotid endarterectomy doesn't "treat" stroke as much as it's performed to prevent one. Success depends upon experience of surgeon & operating team/hospital. Read more...

Hi doctors, was just wondering what is a carotid endarterectomy?

Carotid artery surg. A carotid endarterectomy is a surgery to "clean out" the carotid artery. Doctors do this if there is significant atherosclerosis buildup in the carotid artery, because reducing the buildup reduces the risk of stroke. Read more...

How long does it usually take to recover from a carotid endarterectomy operation?

Endarterectomy . Recovery from surgery depends on the patient and their condition. In general if everything else is fine, a week or two should have the patient pretty perky though the neck wound might still be sore a bit. Read more...
Recover carotid surg. Most can go home after breakfast the morning after surgery. I allow them to return to full speed after i see them for their one week post op visit and the surgical site (neck) will be back to normal in 4-6 weeks. Read more...