Carotid endarterectomy
Before being admitted for surgery, you'll have a careful pre-operative assessment.
Ifacarotid endarterectomy has been arranged in advance, this assessmentwill usuallybe carried out at a hospital pre-assessment clinic a few days before you're due to have theprocedure. In some cases, you'll be asked to attend the pre-assessment clinic on the day the operation is scheduled.
Alternatively,you may be seenat aspecialist clinic if you've recently had a Heat exhaustion and heatstroke or transient ischaemic attack (TIA) . Tests to check the health of your arteries will be carried out,and you may be admitted for surgery immediately if your carotid arteries are found to be severely narrowed.
You'llhave a physical examination and be asked about your medical history at a pre-admission clinic. Any further tests or investigations that are needed will also be carried out at this time.
The pre-admission clinic is a goodopportunity for youto ask your treatment team about the procedure, although you can discuss any concerns you may have at any time.
If you're taking any medication (prescribed or otherwise), it would be useful to bring it with you to the pre-admission clinic so the details can be noted.
You'll be asked whether you've had anaesthetic (painkilling medication) in the past and whether you experienced any problems or side effects, such as feeling sick. You'll also beasked whether you're allergic to anything to avoid a reaction to any medication you may need during your treatment.
Your treatment teamwill ask youabout your teeth, including whether you wear dentures, have caps or a plate. This is because during the operation you may need to have a tube put down your throat to help you breathe, and loose teeth could be dangerous.
Before having a carotidendarterectomy, your surgeon will discuss howyou shouldprepare. They may give youthe following advice:
.
A carotid endarterectomy is a surgical procedure to unblock a carotid artery. The carotid arteries are the main blood vessels that supply the head and neck.
A carotid endarterectomy may be needed if one or both of your carotid arteries becomes narrowed by a build-up of fatty deposits (plaque).
Before having a carotid endarterectomy, you'll attend a pre-admission clinic where you'll have a physical examination and be asked about your medical history.
A carotid endarterectomy will either be carried out under general or local anaesthesia.
After a carotid endarterectomy, you will usually be moved to the recovery area of the operating theatre or, in some cases, a high dependency unit (HDU).
As with all types of surgery, there are some risks associated with having a carotid endarterectomy.
A carotid endarterectomy is the main treatment for narrowed carotid arteries. However, an alternative procedure called carotid artery stent placement can also be used.
Mr Joseph Leverment, from Cropston, Leicester, had a carotid endarterectomy while he was a senior surgeon at University Hospitals of Leicester NHS Trust.