What is a Carotid Endarterectomy?
A carotid endarterectomy (CEA) is a surgical procedure that removes plaque buildup from your carotid arteries, the major blood vessels that supply blood to your brain.
Why is it Performed?
- To prevent stroke in patients with significant carotid artery blockage
- To treat severe narrowing (stenosis) of the carotid arteries
- When carotid artery disease is detected through screening
The Procedure
Before Surgery
- Complete medical evaluation
- Blood tests and imaging studies
- Possible temporary medication adjustments
During Surgery
- General or local anesthesia administration
- Incision in the neck
- Temporary clamping of the carotid artery
- Removal of plaque buildup
- Closure using either direct suturing or a patch
Recovery and Aftercare
Hospital Stay
- Usually 1-2 days
- Regular monitoring of vital signs
- Neck movement observations
At Home
- Gradual return to activities
- Wound care instructions
- Follow-up appointments
Potential Risks
- Stroke
- Bleeding
- Nerve injury
- Infection
- Blood clots
Expected Outcomes
- Reduced stroke risk
- Improved blood flow to brain
- Better long-term cardiovascular health
When to Contact Your Doctor
- Severe headache
- Difficulty speaking or understanding speech
- Weakness or numbness on one side
- Fever or signs of infection
- Excessive bleeding
Follow-up Care
- Regular check-ups
- Ultrasound monitoring
- Lifestyle modifications
- Medication management