- Carotid arteries in the neck that supply the brain—most common use of endarterectomy
- The aorta—a major artery that runs from the heart to the abdomen
- Iliac and femoral arteries of the legs
- Renal arteries that supply the kidneys with blood
|Bilateral Carotid Artery Atherosclerosis|
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Reasons for Procedure
- Stroke, particularly if the carotid arteries are involved
- Blood clots
- Adverse reaction to the anesthesia
- Poor overall health
- Increased age
- Plaque build-up in other vessels
- Other serious diseases, such as heart failure, uncontrolled high blood pressure, diabetes, cancer, and kidney disease
What to Expect
Prior to Procedure
- Give you an exam to make sure that you are healthy enough for the surgery
- Order studies that show detailed images of your arteries
- Anti-inflammatory drugs
- Blood thinners
- Avoid eating or drinking after midnight the night before the surgery.
- Arrange for a ride home from the hospital.
- 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
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- 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.
- 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:
- If advised by your doctor, work with a nutritionist.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Nausea and/or vomiting that you cannot control with the medicines you were given after surgery, or which persist for more than two days after discharge from the hospital
- Pain that you cannot control with the medicines you have been given
- Constipation or diarrhea
- Inability to urinate
- Severe headaches
- Problems with speech or vision
- Cough, shortness of breath, or chest pain
American Heart Association http://www.heart.org
Peripheral Vascular Surgical Society http://www.pvss.org
Health Canada http://www.hc-sc.gc.ca
Heart and Stroke Foundation of Canada http://ww2.heartandstroke.ca
Atherosclerosis endarterectomy. Cleveland Clinic website. Available at: http://my.clevelandclinic.org/services/endarterectomy/vs%5Fatherosclerosis%5Fendarterectomy.aspx. Accessed May 6, 2013.
Endarterectomy. Society for Vascular Surgery website. Available at: https://www.vascularweb.org/vascularhealth/Pages/endarterectomy.aspx. Updated February 2011. Accessed May 6, 2013.
Greenfield, Lazar J, et al. Aortoiliac Disease in Surgery: Scientific Principles and Practice. Philadelphia, PA: Lippincott, Williams, and Wilkins; 2001.
6/3/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.