Carotid Endarterectomy
Surgical removal of plaque from the carotid artery to prevent stroke
What is it?
Carotid endarterectomy (CEA) is a surgical procedure to remove plaque buildup from the carotid arteries. It is one of the most effective procedures to prevent stroke in patients with significant carotid artery stenosis.
Why is it done?
Recommended when carotid artery stenosis exceeds 70% in symptomatic patients (those who have had TIA or stroke), or >60-70% in selected asymptomatic patients.
How is it performed?
An incision is made in the neck, the carotid artery is clamped, opened, and the plaque is carefully removed. The artery is then closed with a patch. Brain monitoring is performed throughout.
What to Expect
- Carotid ultrasound and CT/MR angiography
- Cardiac evaluation
- Aspirin therapy before surgery
- General or local anesthesia with sedation
- Neurological monitoring
- Procedure lasts 1-2 hours
- Hospital stay 1-2 days
- Neck discomfort for 1-2 weeks
- Activity restrictions for 4-6 weeks
Recovery
Most patients are mobile the next day. Full recovery typically takes 2-4 weeks. Driving is usually restricted for 2 weeks.