Carotid endarterectomy
Carotid endarterectomy (CEA) is an operation performed to restore impaired blood flow in the carotid artery. Surgery removes the narrowing of the lumen of the vessel, which can lead to stroke.
The carotid artery is the main vessel through which oxygen-enriched blood enters the brain. As a rule, the decrease in the vascular lumen is associated with atherosclerosis - the accumulation of fat in the inner lining of the artery.
Carotid artery disease is similar to coronary heart disease, in which blockage occurs in the arteries of the heart and can cause a heart attack. In turn, complete blockage of the carotid artery leads to stroke, so treatment aims to reduce this risk.
3-5% of people over the age of 65 are diagnosed with significant carotid artery stenosis. The risk of the disease increases with age and progressively increases in people who do not take preventive measures at risk of atherosclerosis: smoke, suffer from high blood pressure and diabetes, have high blood cholesterol. Carotid artery stenosis is the cause of a third of all strokes. For every 15 deaths, one is caused by a stroke; Every year, more than 120,000 new strokes are recorded in Ukraine.
With carotid artery stenosis, the risks are associated not only with its blockage but also with the separation from its surface of blood clots and fragments that clog the lumen of the arteries directly in the brain tissue, causing its death.
What is a carotid endarterectomy
Carotid endarterectomy is the surgical removal of an atherosclerotic plaque that has formed on the inner surface of the carotid artery wall. This is the most effective surgical treatment of carotid artery stenosis. On the neck, from the side of the carotid artery, the doctor performs the incision about 5 cm long, then selects and opens the artery, removes the plaque. The vessel is sutured, restoring normal blood flow to the brain. On average, a patient's stay in the hospital after surgery is 2-3 days.
Carotid endarterectomy is the most effective surgical procedure in the treatment of carotid artery disease worldwide. The treatment plan depends on several factors, the most important of which are general health and the type of carotid artery disease. Your doctor will tell you about the examination procedure and recommend the best treatment.
Diagnosis
Carotid endarterectomy is prescribed only after a reliable instrumental examination, which will confirm the diagnosis of carotid artery stenosis. The list of standard diagnostic procedures includes:
- Ultrasound of the carotid artery;
- blood tests (general, biochemistry, lipid profile);
- Contrast-enhanced MRI or CT (gives an accurate understanding of the location and size of the pathology).
The doctor may prescribe other types of examinations if clarifications are needed. Properly performed diagnosis increases the chances of success of the operation, and in addition, the high accuracy of preliminary diagnosis is the basis for drawing up a plan for carotid endarterectomy.
Contraindications are relative, so in each case the decision is made by the doctor, weighing the ratio of risks and prognoses.
Advantages of treatment in the clinic "Dobrobut":
- carotid endarterectomy operations are performed by vascular surgeons with many years of experience in such interventions;
- the period between the examination and the appointment of surgery - from several hours to days, depending on the clinical picture of the patient;
- the patient is in a comfortable environment under the supervision of medical staff;
- it is possible to establish constant contact between the patient and the doctor through the mobile application "Dobrobut".
The price for carotid endarterectomy is determined by taking into account the type of chosen surgical technique, the cost of drugs, and consumables. To make an appointment with a specialist - call the contact numbers or order a callback. We will choose the most convenient time for you.
