You will lie flat on a table. A roll will be placed under your shoulder. Your head will be turned to the side. A cut in the skin will be made along the side of the neck. The cut will run from just behind the ear to a point above the breastbone. Clamps will be placed above and below the plaque on the carotid artery. In some cases, a temporary bypass tube will be used to maintain blood flow around the area that is being operated on.
The artery will be opened and cleaned of plaque. The artery will then be sewn back together. The clamps, and bypass tube, if used, will then be removed. A section of the carotid artery may need to be removed. In this case, an artificial graft or a segment of vein will be sewn in to replace it. The neck incision will be closed with stitches.
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Carotid Endarterectomy. Cleveland Clinic website. Available at: ...(Click grey area to select URL) Updated June 2011. Accessed May 6, 2013.
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Questions and answers about carotid endarterectomy. National Institute of Neurological Disorders and Stroke website. Available at: ...(Click grey area to select URL) Updated July 5, 2012. Accessed May 6, 2013.
6/2/2011 DynaMed's Systematic Literature Surveillance ...(Click grey area to select URL) : 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.