Carotid arteries are located on each side of the neck and carry oxygenated
blood to the brain. These arteries can become obstructed by cholesterol
plaques similar to coronary arteries in coronary artery disease. Over
time plaque can build up, narrowing the artery and this can lead to a
stroke. To avoid this, patients are routinely screened with an ultrasound
or similar test to evaluate the amount of plaque within their carotid
arteries. If significant narrowing (stenosis) exists, surgery is often
recommended to remove this plaque and repair the artery to lessen your
risk of subsequent stroke. During the surgery, the surgeon will make a
small incision along the side of the neck. This allows visualization and
exposure of the artery. The artery is then opened, the plaque is removed,
and the artery is repaired often utilizing a vascular patch. This type
of surgery is called a carotid endarterectomy (CEA). Most patients may
expect to go home the day after surgery with minimal restrictions.
Pre-op routine: Before your surgery, your surgeon will see and examine you as well as
review all pertinent labs, imaging, and tests. You will have ample opportunity
to ask questions and gain a full understanding of the nature of your disease
process and the surgery to treat that disease. You will have lab tests,
lung function tests, EKG, and chest x-ray prior to surgery. Your preoperative
instructions will be provided to you in office. Follow them, and call
the office with any needs or concerns.
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