Carotid Endarterectomy at IHLD Delhi Hospital
Introduction to Carotid Endarterectomy
Carotid endarterectomy is a surgical procedure to remove plaque buildup from inside the carotid arteries, the main arteries in the neck that supply blood to the brain. This procedure helps restore normal blood flow and reduce the risk of stroke.
Indications for Carotid Endarterectomy
The procedure may be recommended for patients with:
- Significant narrowing (stenosis) of the carotid arteries
- Previous transient ischemic attacks (TIAs) or strokes caused by carotid artery disease
- High risk of future stroke based on clinical evaluation and imaging tests
- Good overall health and life expectancy to benefit from the procedure
Risks and Benefits of Carotid Endarterectomy
Like any surgical procedure, carotid endarterectomy carries risks and benefits:
- Risks: Potential risks include stroke, bleeding, infection, nerve injury, and heart complications. Your healthcare provider will discuss these risks in detail before the procedure.
- Benefits: Benefits may include reduced risk of stroke, improved blood flow to the brain, and prevention of future transient ischemic attacks (TIAs).
Preparing for Carotid Endarterectomy
Prior to the procedure, patients may need to:
- Undergo imaging tests such as ultrasound or angiography to assess the severity of carotid artery narrowing
- Adjust medications as directed by their healthcare provider
- Fast for a certain period before the surgery, typically from midnight the night before
- Arrange for transportation to and from the hospital on the day of the procedure
The Carotid Endarterectomy Procedure
The surgical procedure involves:
- Administering anesthesia to ensure patient comfort throughout the procedure
- Making an incision in the neck to access the affected carotid artery
- Carefully removing the plaque buildup from inside the artery
- Closing the artery with sutures or a patch to restore normal blood flow
- Monitoring the patient closely during and after the procedure for any complications
Recovery and Post-Operative Care
After carotid endarterectomy, patients may expect:
- Monitoring in the intensive care unit (ICU) or a recovery room immediately after surgery
- Gradual return to normal activities under medical supervision
- Medication management to prevent blood clots and manage pain
- Scheduled follow-up appointments to monitor healing and assess vascular health
Lifestyle Changes and Long-Term Management
Patients are encouraged to make lifestyle changes to support cardiovascular health:
- Adopting a heart-healthy diet low in saturated fats and cholesterol
- Quitting smoking and avoiding exposure to secondhand smoke
- Maintaining a healthy weight through regular exercise and physical activity
- Monitoring blood pressure and cholesterol levels as recommended by healthcare providers
- Participating in cardiac rehabilitation programs if recommended by the healthcare team
Follow-Up and Monitoring
Regular follow-up appointments are essential:
- Monitoring carotid artery health through imaging tests as recommended
- Assessing overall cardiovascular health and managing any underlying conditions
- Addressing concerns or questions related to recovery and long-term management
