Carotid Endarterectomy in Hyderabad
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Carotid endarterectomy

Carotid endarterectomy is a crucial surgery for the prevention of stroke through the removal of plaque buildup from carotid arteries that are responsible for the blood supply to the brain. This surgery becomes paramount in subjects with extensive carotid artery disease and can be a cure for severe health complications such as strokes and TIAs if the buildup of plaque in the arteries remains untreated.
Carotid endarterectomy Carotid endarterectomy is a crucial surgery for the prevention of stroke through the removal of plaque buildup from carotid arteries that are responsible for the blood supply to the brain. This surgery becomes paramount in subjects with extensive carotid artery disease and can be a cure for severe health complications such as strokes and TIAs if the buildup of plaque in the arteries remains untreated.

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Carotid endarterectomy Overview

Carotid endarterectomy is a crucial surgery for the prevention of stroke through the removal of plaque buildup from carotid arteries that are responsible for the blood supply to the brain. This surgery becomes paramount in subjects with extensive carotid artery disease and can be a cure for severe health complications such as strokes and TIAs if the buildup of plaque in the arteries remains untreated.

What is Carotid endarterectomy

Carotid endarterectomy is a process in which an incision is made in the side of the neck, the carotid artery is opened, and the atherosclerotic plaque is removed. Removing the plaque restores normal blood flow to the brain and significantly reduces the risk of stroke in patients. This procedure is usually recommended for patients with severe carotid narrowing or who have had TIAs or minor strokes.

Types of Carotid endarterectomy procedures

Carotid endarterectomy is a surgical process to clear plaque from the carotid arteries and re-establish normal blood flow to the brain. There exist two major types of carotid endarterectomy procedures:

Conventional or Open Carotid Endarterectomy:

The procedure involves making an incision in the neck, exposing the carotid artery. Then, it is opened, and the plaque is removed.
Benefits: One can visualize the artery directly, hence making sure of the complete removal of plaque.
Considerations: This procedure needs a larger incision with a longer recovery time compared to minimally invasive techniques.

Eversion Carotid Endarterectomy:
Procedure: Making a surgical cut in the carotid artery, it is turned inside out, and the plaque is removed. After that, the artery is reattached.
Benefits: Probably with this version, there could be shorter clamping time; possibly with it, there is less risk of restenosis, which means re-narrowing of the artery.
Considerations: The eversion technique may be technically more demanding, and isn't appropriate for everyone.

Need for Carotid endarterectomy Procedures

Carotid endarterectomy is performed in patients with:

Severe Carotid Artery Stenosis of 70% or greater: Even if they exhibit no symptoms whatsoever, the patient will be at an extremely high risk of having a stroke.
Moderate Stenosis: 50–69% with Symptoms: Patients who have TIAs or minor strokes may benefit from a carotid endarterectomy.
High Risk for Stroke: Some patients, due to advanced age or previous medical conditions or habits, may benefit from carotid endarterectomy to avoid a possible stroke

Preparing for Carotid endarterectomy

Patient Evaluation: The diagnosis consists of a history, a physical examination, and diagnostic tools that help in measuring the extent of carotid artery disease. Testing will likely include ultrasound, CT angiography, or magnetic resonance angiography.

Pre-procedure Instructions:
Patients are placed under a fasting period lasting several hours before the procedure. Medication adjustments will be made, especially for blood thinners and those meant for other underlying conditions.
Tests and Imaging: Diagnostic imaging tests are done to determine the extent and position of plaque buildup. These tests are very crucial in the planning of the surgical method to be used and in ensuring the best recovery possible.

Carotid endarterectomy procedure

Anesthesia: The surgery usually involves general anesthesia but is sometimes performed using local anesthesia.

Incision: An incision is made in the side of the neck over the incision site for carotid artery access.

Artery Access: Blood flow is temporarily stopped by clamping the artery above and below the blockage.

Plaque Removal: The blockage is removed by opening the artery and removing it very carefully from the arterial lumen.

Artery Repair: The artery is then closed by suturing or patching to keep it open.

Closure: Finally, close the incision and monitor the patient in the recovery area.

Post-Carotid endarterectomy care

A patient, after surgery, is initially observed in the recovery room and then in a hospital room for 1-2 days. Most patients are able to return to routine activities in several weeks, with gradual increases in activity levels.

Medications and Follow-up: Patients are typically placed on antiplatelet medications to prevent blood clotting. Follow-up with their doctor is arranged to monitor their recovery and to be sure that the artery has stayed open.

Lifestyle Modifications: Heart-healthy lifestyle changes are necessary for the long term. It comprises a balanced diet, regular exercise, smoking cessation, and control of other risk factors like hypertension and diabetes.

Risks and Complications

Though carotid endarterectomy is generally a safe procedure, it is associated with some risks, which include:

- Stroke or TIA
- Myocardial infarction
- Nerve injury
- Infection at the incision site
- Bleeding or hematoma

Symptomatic Patients: TIA or minor stroke patients.
Asymptomatic patients: those patients with severe carotid artery stenosis of 70% or greater.
Symptomatic patients with moderate stenosis: patients who have symptomatic 50–69% stenosis, with TIAs or minor strokes.
High-risk factors for stroke: those patients with advanced age, hypertension, diabetes, and smoking.

Success Rates and Outcomes

Carotid endarterectomy boasts high success rates and favourable outcomes, significantly reducing the risk of stroke in patients with carotid artery disease. This surgical procedure involves the removal of plaque buildup from the carotid arteries, restoring proper blood flow to the brain. Patients benefit from a procedure that enhances safety and promotes rapid recovery. The proven success of carotid endarterectomy makes it a trusted option for those seeking to prevent strokes and ensure better overall outcomes.

Life expectancy after carotid endarterectomy:

The life expectancy after carotid endarterectomy is significantly improved in patients who are at high risk of having a stroke. It reduces not only the immediate risk of stroke but also, when associated with changes in lifestyle and medical management, contributes to long-term cardiovascular health. Most of the patients can have a normal life expectancy if properly taken care of and followed regularly.

Conclusion

Why choose Continental Hospitals for Carotid endarterectomy

Continental Hospitals offers carotid endarterectomy with expert surgeons, advanced technology, comprehensive care, personalized treatment, and a patient-focused approach. We use advanced imaging and surgical technology and provide detailed pre-operative assessments, post-surgery follow-ups, and a personalized treatment plan. Our patient-focused approach prioritizes comfort and well-being, ensuring a successful recovery.

Choose Continental Hospitals for your carotid endarterectomy and experience superior care with expert surgeons, advanced technology, and a dedicated focus on your health and recovery.

Our Doctors
Continental Hospitals is a NABH and JCI accredited facility in Hyderabad offering multi-specialty, tertiary and quaternary care services. The hospital has Green OT, Level 3 NICU and PICU, and is known for it’s efficient critical care team.
Dr. Arun Kanala
Sr Consultant Cardiothoracic Surgeon
Dr Vivek Babu Bojjawar
Sr Consultant - Cardiothoracic Surgery (CTVS)
Dr Uma Karthik Kanidarapu
Sr Consultant Cardiothoracic Surgeon
Frequently Asked Questions
After carotid endarterectomy, expect a short hospital stay of 1-2 days. You may experience neck discomfort, swelling, and bruising. Follow your doctor’s instructions on activity restrictions, medication, and incision care. Regular follow-up visits are crucial to monitor recovery and prevent complications. Continental Hospital has the best cardiologists in Hyderabad with a high success rate, and they are known for innovative cardiac care treatments and a sensitive patient approach.
A carotid endarterectomy is performed under anesthesia. The surgeon makes an incision in the neck, clamps the carotid artery, removes the plaque, repairs the artery, and then closes the incision. This restores normal blood flow to the brain.
A vascular surgeon typically performs a carotid endarterectomy. In some cases, a neurosurgeon may conduct the procedure, especially if there are complex neurological factors involved. Continental Hospital, led by experienced cardiologists, has specialized surgeons for carotid endarterectomy. The hospital provides personalized treatment plans and comprehensive care, aiming to enhance patient outcomes and quality of life.
A carotid endarterectomy is performed to remove plaque buildup in the carotid arteries. This reduces the risk of stroke, improves blood flow to the brain, and can prevent transient ischemic attacks (TIAs). Continental hospitals have expertise in performing carotid endarterectomy surgery with highly experienced cardiac surgeons.
Carotid endarterectomy is indicated for severe carotid artery narrowing (70% or greater), moderate blockage (50–69%) with symptoms, or for patients with a history of TIAs or minor strokes. Continental Hospitals in Hyderabad is well-known for its excellent cardiovascular department. Their highly trained cardiologists specialize in identifying and treating cardiac diseases.
The cost of a carotid endarterectomy varies widely but typically ranges depending on location, hospital, surgeon fees, and insurance coverage. Continental Hospitals in Hyderabad is recognized for its modern cardiology department, which specializes in diagnosing and treating cardiac diseases, performing difficult surgeries, and providing less invasive options.
Yes, carotid endarterectomy is considered a major surgery because it involves opening the neck to access and clear the carotid artery. Continental Hospital, a dedicated team of cardiologists led by specialists with extensive expertise in cardiovascular care, provides advanced carotid endarterectomy surgery.
Warning signs of a blocked carotid artery include sudden weakness or numbness on one side of the body, difficulty speaking, vision problems, dizziness, and severe headache. These symptoms may indicate a stroke or transient ischemic attack.

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