Whatever you need to know about carotid harshterctomy

Collection: Diseases and the way of treatment

Carotid Endertomy is a way to remove license plates from carotid arteries

What is carotid hartctomy and how is it done?

The carotid brushing removes plaque sediments (fat and cholesterol) from your carotid artery and improves blood flow to your brain. This can help prevent another stroke in people who have previously had a stroke. Even by doing so, you need to improve your diet, exercise and reduce your stress level to prevent plaque from being re -form.

Endertomy is usually performed with general or local anesthesia

What is carotid hartctomy?

Carotid ultractomy is a surgery to remove plaque (fat and cholesterol deposits) from the carotid artery that provides blood to your brain and face. On both sides of each person's neck there is a carotid artery. When the plaque is accumulated in the artery walls, the blood flow to the carotid arteries decreases or stops. If you do not have enough blood to the brain, you may have a stroke. If you have a stroke, you need to go to the emergency department immediately to get urgent treatment within three to six hours.

Who should do carotid endrtomy?

To check if the carotid endrtomy is suitable for you, a vessel surgeon will do the following:

• Assess your status

• Review of medical history

• Perform diagnostic tests

You and your doctor will decide whether surgery is a good option for your treatment. This is done by a vascular surgeon in the hospital operating room.

The doctor may recommend carotid hartctomy in the following:

• Carotid artery disease

• Having a transient ischemic attack (TIA) or mild stroke due to carotid artery disease

• Severe stenosis or obstruction (usually at least 80 %) in carotid artery without symptoms related to the disease

• If you are not suitable for carotid endrtomy surgery, your doctor may suggest that your carotid artery be checked every year. You may also need to improve your diet to reduce cholesterol and use blood thinners such as aspirin or clopidogrel to prevent stroke. The doctor may also perform angioplasty (which pushes the plaques to the artery walls to improve the blood flow) with the stent (grid tube) to keep the carotid artery open.

Endertomy is recommended for people with severe carotid artery stenosis

Why is carotid hartctomy?

Your doctor may have many plaques in your carotid artery ultrasound or you may have problems with blood flow in this area. The carotid hartctomy removes the plaques from your artery to improve blood flow to the brain. This helps prevent stroke, the fifth cause of death in the United States.

What does this treat?

Carotid ultractomy is a surgery performed to treat carotid artery disease.

How common is this action?

Carotid endrtomy is the most common surgical treatment for carotid artery disease.

What happens before the carotid endrtomy?

In addition to physical examination, you may do tests a few days before surgery to make sure surgery is safe. Your doctor may recommend brain angiogram to better define your brain anatomy. Brain angiogram is an offensive diagnostic test that produces X -ray images of blood vessels in your head.

However, in many cases, your doctor may obtain this information through CT angiography or MR angiography. These methods are non -invasive and can provide information about the carotid arteries and your brain without the risk of stroke.

You may need to stop taking certain medications before surgery, so be sure to keep your doctor not know all the medications you take (including prescription medications, medicinal herbs and supplements). The medical team gives you specific guidelines for preparing. Most people will continue aspirin during the operation. Consult your doctor before discontinuation of aspirin or clopidogrel. You should also stop using tobacco products before surgery.

Endertomy is one of the most common treatments for carotid artery disease

What happens during the carotid endrtomy?

Carotid ultractomy usually takes about two hours.

Your doctor prescribes general anesthesia (similar to sleeping) or regional anesthesia, which means you are awake, but the area that is to be operated is numb. If regional anesthesia is used, you will also be given a medicine to help calm.

The surgeon performs the following steps in the carotid conctomy:

• A cut of about 4 inches in your neck in the area of ​​obstruction.

• It may use a small tube for temporary deviation of blood flow around obstruction or stenosis and separate the area.

• Creates a shear in the longevity of the artery containing plaque.

• Remove the plaque and usually open the artery by using a patch of loose material to prevent re -stenosis.

• Reconstructs blood flow to the brain from its normal path.

What happens after the carotid endrtomy?

Most people stay in the hospital one night to be monitored for possible postoperative problems. There may be a temporary drainage in your neck to drain fluids where the doctor has cut it. This usually remains for only one day.

The doctor will check the results of the operation with you. For most people, this will help prevent further stroke and reduce the risk of stroke. However, unless you adopt a healthier lifestyle, plaque formation, blood clots and other problems in carotid arteries may occur again.

Endertomy is an effective way to treat arterial obstruction

What are the benefits of carotid hartctomy?

Carotid freertomy can be very useful in preventing future strokes in people who have already had a stroke, which may reduce the risk of stroke three years after surgery. Most people endure this. Even with the success of the operation, your doctor may recommend:

• Improved diet.

• Start exercising (if it is safe).

• Failure to use tobacco products.

• Reduce stress levels.

• Take medication to lower cholesterol levels.

These measures can help prevent the plaque from re -forming.

What are the risks or complications of carotid endrtomy?

Like any surgery, there is a risk of complications, including:

• Bleeding.

• Infection.

• Blood clots.

• Nervous injury.

• Seizures.

• Brain damage.

• The future blockage of the artery.

• Stroke (this case occurs in 5% to 7% of people who had previously had strokes or mini -strokes, and 2% to 3% of those who do not have a stroke).

• Heart attack.

However, with an experienced surgeon, the risks are minimized.

The factors affecting the risks of carotid endrtomy are:

• Carotid artery severity.

• Place of blockage.

• Having a previous stroke.

• Other medical conditions, such as diabetes or kidney disease.

• Your age (older people are at greater risk).

• Your sex (female people may be at greater risk for complications).

If your doctor suggests this surgery as a treatment option, talk to him about the cause, benefits and risks, and surgical results in the hospital. While the surgery may cause neck pain for about two weeks, you can use non -prescription painkillers to relieve.

Endertomy is an effective way to treat arterial obstruction

Hydertistic recovery time

The recovery process after carotid endrtomy is rapid. Most people come home a day after surgery. Upon returning home, you can take a shower, but avoid severe surgical adhesive or direct collision with water.

Check the cutting site daily and avoid using any lotions on it. Avoid wearing clothes that are abandoned.

Most people can return to their normal activities after three to four weeks. You can drive after the cutting and comfortable in the head rotation. A area close to the jaw and the ear may be numb for up to six months to a year.

When should you see a doctor?

Contact your doctor if you have any of the following:

• Fever or chills.

• Blood or yellow or green mucus during cough.

• Problem in swallowing.

• chest pain.

• Inflation in the legs.

• Problem in vision.

• Dizziness.

• Weakness or anesthesia in the body.

• shortness of breath.

• Redness at the area of ​​cutting or yellow or green secretion of it.

• Headache, confusion or difficulty in talking or understanding the words of others.

Severe carotid artery stenosis can cause stroke

Frequently asked questions about carotid harsterctomy

1. Do surgery Carotid Endertomy Is dangerous?

Like any surgery, carotid ultractomy has risks such as bleeding, infection, stroke or nerve injury. However, these risks are minimized with an experienced surgeon.

2. How long does it take to recover after carotid endrtomy?

Most people are discharged from the hospital within a day after surgery and can return to their normal activities within three to four weeks.

3. Is there a need for medication after this surgery?

Yes, your doctor may prescribe medications such as blood thinners (such as aspirin or clopidogrel) and cholesterol reducing medications to prevent new plaque formation.

4. What is the difference between carotid endrtomy and stent?

Endertomy involves the removal of plaques from the artery, while in stenting, the plaques are compressed to the artery wall and a sternum tube is placed to keep the artery open. The choice of method depends on the patient's condition.

5. Can the hartctomy completely eliminate the risk of stroke?

This surgery reduces the risk of stroke but does not bring it to zero. Lifestyle changes, including a healthy diet, quitting smoking and regular physical activity, are essential to prevent plaque re -forming.

Final speech

If you have a stroke or have a carotid artery disease, carotid ultractomy can improve your blood flow and help prevent future strokes. You and your doctor can decide whether this surgery is right for you. Even if this surgery is appropriate for you, carotid artery management will be more successful by improving diet, increasing physical activity and reducing stress levels. It is also important to attend follow -up and continued use of prescribed medications.

Collected:Bitote Health