What does it mean to have carotid endarterectomy?

Clearing of Plaque. This is to surgically expose the carotid artery in the neck and to remove the plaque of the diseased artery. Arteries have 3 layers. Plaque / atherosclerosis develops in the inner two layers. The outer layer is the strength layer. These layers peel apart similar to the layers in an onion. Once cleared, the artery is closed using patch to prevent it from scarring down. The goal: prevent strokes.
Remove plaque. The surgical removal of plaque in the major artery in the neck (carotid) supplying blood to the brain to reduce the chance of stroke. Not everyone with carotid plaque needs surgery. In fact, the vast majority are treated medically. Discuss with your doctor.
CEA. It is a small surgical procedure to clean out the plaque that is narrowing the carotid artery.

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...

What is recovery like after carotid endarterectomy?

One Night Stay. Typically people spend one night in the intensive care unit before going home the next day. A sore throat is common as is numbness of the neck / chin / lip of the operated side. The numbness improves over 6 months. Pain is surprisingly not the most common complaint. High or low blood pressure, the complication of stroke or a heart attack may keep a patient in the hospital longer. Read more...
Usually 24-48 hours. Endarterectomy is the gold standard for symptomatic carotid disease. Recovery can be quick - just 24-48 hours. Many surgeons have a 2% peri operative rate of stroke, less than 1% risk of peri operative death. There is some risk to nerves that control the voice box but should an injury occur it is usually temporary. The key is to ask your surgeon what his personal complication rates are. Read more...
Recovery. Typically people go home the next morning with just the sensation that they have a "stiff neck" rather than a lot of pain. We ask them to take it easy until the follow up visit after which they can usually return to normal activity levels. 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...

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

3-6 weeks. I have had patients return to full activities 3 days later and have never had anyone take more then 6 weeks. Most are fully recovered by 3 weeks. I have done over 2500 carotid surgeries. Read more...
Quick recovery . Carotid endarterectomy requires an overnight stay in the hospital. Most patients are back to doing just about everything in 5 to 7 days. The neck heals very quickly and the procedure itself isn't very traumatic (i.e. No muscle is cut or bones broken) which makes the discomfort post operatively mild and short-lived. I have had a who mc'ed a black tie event for 600 people 3 days post-op! 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...

I had a carotid endarterectomy dec 20th need some advice, suggestions?

Carotid endarterecto. If you had a carotid surgery then you have physicians associated with that condition who should be available to you to answer any questions you have. Only general advice can be given from out here. Read more...