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Sometimes plaque begins to build up on the walls of the arteries supplying blood and oxygen to the head and neck.

This causes these carotid arteries to narrow and restrict the flow of blood.

For some patients, medication, diet and lifestyle changes may be prescribed to treat this narrowing. For others surgical removal of the plaque called carotid endarterectomy may be required.

Before your endarterectomy your consultant may order one or more tests to access the flow of blood in your carotid arteries.

What happens during a carotid endarterectomy?

Carotid endarterectomy can be performed under general or local anaesthetic. Be sure and ask your consultant what method will be used. The procedure takes 1-2 hours.

If both your carotid arteries are blocked you may need two procedures within a few weeks.
Your consultant will make an incision (cut) in your neck and access your carotid artery. They will clamp the area of your artery containing the plaque to temporarily restrict the flow of blood. If needed, they may temporarily reroute the flow of blood from the area.

After carefully opening the carotid, your surgeon will peel away the plaque from the artery wall. In some cases they may insert a tiny tube (stent) to strengthen the artery and hold it open. After checking to ensure there is no residue left in the artery they will close the opening using stitches or a patch. The incision in your neck will also be closed. A small drainage tube may be left in place to drain away any excess fluid. This tube will usually be removed the day after your surgery.

After carotid endarterectomy

You may need to stay in hospital for up to 2 days following your surgery. Our healthcare team will closely monitor your blood pressure and heart rate. You will be given pain relief medication.

Most patients are able to eat and drink within a few hours of surgery.

Going home after carotid endarterectomy

Please arrange for someone to drive you home on your day of discharge. You will not be able to drive until released to do so.

Keep your wound clean and dry until your appointment to remove your stitches. Any scar will fade after a few months.

You may be given medication to prevent blood clots. Continue to take this as prescribed.

Your consultant may recommend diet and lifestyle changes to help prevent further narrowing of your arteries.
Be sure and discuss any return to work or exercise with your consultant or GP.

Most people make a good recovery from carotid endarterectomy. As with any surgical procedure there could be complications including:

  • Bleeding
  • Infection
  • Pain

Specific complications of carotid endarterectomy may include:

  • Voice change
  • Difficulty swallowing
  • Further narrowing of the carotid artery
  • Stroke
  • Death (rare)

Why not print this page so you can discuss any concerns you have with your consultant?

Carotid endarterectomy consultants at Oxford, The Manor Hospital

Oxford, The Manor Hospital

Beech Road, Headington, Oxford, OX3 7RP

01865 307777
Reception and all general enquiries 01865 307777
New treatment enquiries 01865 307750
Diagnostic Imaging (appointments and enquiries) 01865 307 437
Nurses' Station (for inpatients only) 01865 307 579
Physiotherapy (appointments only) 0333 305 7905
Physiotherapy (enquiries) 01865 307 533
Accounts 01865 987 653

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