What is a carotid endarterectomy procedure?

What is a carotid endarterectomy procedure?

What is a carotid endarterectomy procedure?

During a carotid endarterectomy, your healthcare provider will surgically remove plaque that builds up inside the carotid artery. He or she will make a cut (incision) on the side of the neck over the affected carotid artery. The artery is opened and the plaque removed.

What are the indications for carotid endarterectomy CEA )?

In symptomatic good-risk patients with surgical morbidity and mortality (stroke and death) of less than 6%, proven indications for CEA include the following: One or more transient ischemic attacks (TIAs) in the preceding 6 months and carotid artery stenosis exceeding 50%

What is a endarterectomy in medical terms?

Definition of endarterectomy : surgical removal of the inner layer of an artery when thickened and atheromatous or occluded (as by intimal plaques)

What is coronary endarterectomy?

Coronary endarterectomy is performed to treat a blockage or narrowing of the coronary arteries, thus improving blood supply to the heart. This procedure is performed as part of coronary artery bypass surgery in order to bypass vessels that otherwise could not be bypassed.

How is a femoral endarterectomy performed?

The doctor will make a cut (incision) in your groin or upper thigh. The cut is made over the blocked part of the artery. The doctor will then make a cut in the artery and will take out the plaque. Next, the doctor may sew a man-made patch over the cut in your artery.

What is a femoral endarterectomy?

A femoral endarterectomy (say “FEM-uh-rull en-dar-tuh-REK-tuh-mee”) is done to remove fatty buildup (plaque) from the femoral artery. This is a large blood vessel in the leg. When plaque builds up in the artery, it can make it hard for blood to flow in your leg. After surgery, blood may flow better in your leg.

What is the difference between atherectomy and angioplasty?

Angioplasty — A balloon is inflated to open the vessel. Angioplasty and stent placement — After the balloon is used, a mesh frame called a stent will be placed in the vessel to support the walls. Atherectomy — The plaque is removed using a rotating shaver or laser.

What is directional atherectomy?

DCA, or directional coronary atherectomy is a minimally invasive procedure to remove blockage from coronary arteries to improve blood flow to the heart muscle and ease pain.

What is the eversion technique for endarterectomy?

When the ICA is redundant, the eversion technique allows for shortening of the artery before reanastomosis to the carotid bulb. I find that this process is much simpler than in conventional endarterectomy, which requires plication of the proximal ICA prior to patch angioplasty.

How is the distal endarterectomy performed?

The distal endpoint is identified and the plaque removed in a circumferential fashion. As with conventional endarterectomy, the key to a successful operation is to secure the distal endpoint. With the eversion technique, the endpoint is developed around the circumference of the ICA, under direct vision without the need for tacking sutures.

What is included in endarterectomy for atheroma removal?

Small pieces of loose atheroma and medial muscle fibers are removed under loupe magnification as the endarterectomy proceeds, as it is more challenging to do so once the artery is flaccid following plaque removal. The distal endpoint is identified and the plaque removed in a circumferential fashion.

When is endarterectomy indicated for the treatment of saphenous vein?

When the saphenous vein is unsuitable or unavailable, the surgeon must turn to endarterectomy of the femoral and popliteal systems or synthetic, composite, heterologous, autologous, or homologous grafts.