is a disease that
builds up deposits inside arteries. These deposits consist of fat (cholesterol) and scar tissue. Later on, they gather calcium and become hard like egg shells. This collection narrows the arteries. As a result, blood flow is restricted.
Endarterectomy is a surgery to remove this build-up and improve blood flow. Surgery may involve:
Carotid arteries in the neck that supply the brain—most common use of endarterectomy
Aorta—a major artery that runs from the heart to the abdomen
Avoid eating or drinking after midnight the night before the surgery.
Arrange for a ride home from the hospital.
You may have:
General anesthesia—blocks any pain and keeps you asleep through the surgery; given through an IV in your hand or arm
Local anesthesia—numbs an area of your body so that you stay awake through the surgery; may be given as an injection
Description of the Procedure
Incisions will be made over the diseased part of the artery. The location will depend on the artery that is being unblocked.
In the abdomen and legs, the doctor will clamp the artery above the obstruction during the repair. The lower half of the body can go without a blood supply for long enough to do the surgery. If surgery is done on the neck, the doctor may first reroute (bypass) the blood around the surgical site. This will keep blood going to the brain.
The doctor will then clean out the inside of the artery, being careful not to have small fragments of the deposits break off and flow downstream. Once the artery is cleaned out, the skin will be closed with sutures or staples.
How Long Will It Take?
Several hours (depending on the severity of the disease)
How Much Will It Hurt?
After surgery, there will be pain from the incisions. Ask your doctor about medicine to help with the pain.
Average Hospital Stay
This procedure is done in a hospital setting. The usual length of stay is one day to one week. Your doctor may choose to keep you longer, however, if complications arise.
At the Hospital
While you are recovering at the hospital, you may receive the following care:
You will be monitored to make sure that you are not bleeding, clotting, or developing an infection.
You will also be monitored to make sure that your wound is healing properly and that your pain is managed.
When you return home, do the following to help ensure a smooth recovery:
Have your sutures (or staples) removed when instructed.
If advised by your doctor, take blood thinners.
If you had abdominal surgery, gradually resume your normal eating habits.
To help reduce the risk of plaque build-up, make changes to your diet, such as eating a diet:
Please be aware that this information is provided to supplement the care
provided by your physician. It is neither intended nor implied to be a
substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER
IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the
advice of your physician or other qualified health provider prior to
starting any new treatment or with any questions you may have regarding a