Carotid Artery Endarterectomy
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Reasons for Procedure
- Damage to the carotid artery
- High blood pressure or low blood pressure
- Nerve injury in the neck
What to Expect
Prior to Procedure
- Blood and urine tests
- Electrocardiogram (EKG)—a test that records the heart's activity by measuring electrical currents through the heart muscle
- Imaging tests to assess the arteries include:
- General anesthesia will keep you asleep during the procedure
- Local anesthesia—the area will be numbed
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge at the incision site
- Persistent nausea and/or vomiting
- Pain that you cannot control with the medications you've been given
- Severe headaches, swelling in your neck, or other new symptoms
- Cough, shortness of breath, chest pain
- Memory loss
- Drooping facial muscles
- Difficulty with speech, vision, or with moving
- Arm pain
- Extreme sweatiness
- Lightheadedness or fainting
American Heart Association http://www.heart.org
National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov
Health Canada http://www.hc-sc.gc.ca
Heart and Stroke Foundation of Canada http://www.heartandstroke.com
Stroke treatments. American Heart Association website. Available at: http://www.strokeassociation.org/STROKEORG/AboutStroke/Treatment/Stroke-Treatments%5FUCM%5F310892%5FArticle.jsp. Updated November 21, 2012. Accessed May 6, 2013
Carotid endarterectomy. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/services/heart/disorders/vs%5Fcarotid%5Fendarterectomy%5Foverview. Updated June 2011. Accessed May 6, 2013.
Ederle J, Brown MM. Managing carotid stenosis: Carotid endarterectomy and stenting. Minerva Med. 2008 Oct;99(5):483-8.
Questions and answers about carotid endarterectomy. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/stroke/carotid%5Fendarterectomy%5Fbackgrounder.htm. Updated July 5, 2012. Accessed May 6, 2013.
6/2/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, et al. Smoking cessation reduces postoperative complications: A systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Michael J. Fucci, DO
- Review Date: 12/2014 -
- Update Date: 12/20/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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