Carotid endarterectomy

Need to know

• What happens during carotid surgery? icon plus

  Carotid surgery usually takes one to two hours and is carried out under general or local anaesthetic. During surgery, your surgeon will decide whether to use a temporary shunt (hollow tube) to maintain adequate blood flow to the brain. When the surgeon has accessed your artery, it is clamped to stop the blood flowing and an opening is made across the length of the narrowing. If a shunt is to be used, it will be inserted. The surgeon removes the inner lining of the narrowed section of your artery, with any fatty deposits or plaque. Once the narrowing has been removed, the artery opening will either be closed with stitches or a special patch.

• How to prepare icon plus

  Before your treatment, your consultant will carefully explain the procedure to you and answer any questions you might have. The procedure itself may be carried out with a local anaesthetic or you may have a general anaesthetic. You may be asked to avoid eating or drinking a few hours before the procedure. As with all surgery, there may be some risks or side effects involved. Your consultant will explain these to you.

• After your surgery icon plus

  You will be moved to the recovery area, where you'll be looked after by our team of consultants and nurse specialists. You may have some discomfort in your neck where the cut was made but this will be controlled with painkillers.
  
  You may also experience some numbness around the wound, which disappears after a while. Most people can eat and drink a few hours after surgery and are usually able to leave hospital within 48 hours. The majority of people are able to drive two to three weeks afterwards and can return to work after three or four weeks.