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Carotid Endarterectomy at TX Hospitals: Expert Stroke Prevention in Hyderabad

At TX Hospitals, one of the best cardiology Hospitals in Hyderabad, we offer Carotid Endarterectomy, a proven surgical procedure to remove plaque build-up in the carotid arteries, restoring blood flow to the brain and lowering the chance of a stroke. This procedure is recommended for patients with severe carotid artery narrowing or those who have experienced a stroke or transient ischemic attack (TIA).Our skilled vascular surgeons utilize cutting-edge techniques to deliver safe and effective results, minimizing the risk of future complications. Trust TX Hospitals for comprehensive vascular care and take a step towards better health today. 

Indications for Carotid Endarterectomy

Carotid Endarterectomy is recommended for patients with significant carotid artery stenosis to prevent stroke or transient ischemic attacks (TIAs). The specific criteria for recommending the procedure include:

  1. Severe Carotid Artery Stenosis (≥70%):
  • Symptomatic Patients: Individuals who have experienced a TIA, minor stroke, or other related symptoms.
  • Asymptomatic Patients: Even without symptoms, a severe blockage (≥70%) places the patient at a very high risk of stroke, making the surgery a preventive measure.
  1. Moderate Carotid Artery Stenosis (50–69%): Recommended for patients who show symptoms like TIAs or minor strokes. These patients are at increased risk for a major stroke, and carotid endarterectomy may significantly reduce this risk.
  2. High-Risk Patients for Stroke:
    • Individuals with conditions that increase stroke risk, such as:
    • Advanced age.
    • Medical history of cardiovascular disease or TIAs.
    • Lifestyle factors such as smoking.
  • Other health complications that increase the likelihood of cerebrovascular events.

 

Pre evaluation for Carotid Endarterectomy

Before undergoing carotid endarterectomy, a thorough evaluation is conducted to determine the extent of carotid artery blockage and assess the patient’s overall health. The key components of the pre-evaluation process include:

  1. Medical Evaluation
  • History and Physical Examination: Detailed review of the patient’s medical history, including risk factors such as smoking, cardiovascular diseases, and past strokes or TIAs.
  • Physical evaluation to determine general health and surgical readiness
  1. Imaging and Diagnostic Tests
  • Ultrasound (Carotid Duplex)
  • CT Angiography or MR Angiography
  • Blood Tests Includes coagulation tests to evaluate blood clotting time, ensuring patient safety during surgery.
  1. Medication Review
  • A complete review of medications and medication adjustment for blood thinners, underlying conditions.
  1. Dietary Restrictions:
  • Patients are instructed to fast (no eating or drinking) for several hours before the surgery, typically after midnight the night before.

Procedure for Carotid Endarterectomy

  1. Anaesthesia: Administered as either general (asleep) or local (awake, area numbed).
  2. Incision: A 4–10 cm incision is made on the side of the neck to expose the carotid artery.
  3. Artery Access: Blood flow is temporarily stopped with clamps; a shunt may be used to maintain brain blood flow.
  4. Plaque Removal: The artery is opened, and the plaque is carefully removed.
  5. Artery Repair: The artery is repaired using stitches or a patch to prevent future narrowing.
  6. Closure: The incision is closed, and a drain may be placed to prevent fluid build-up.
  7. Recovery: The patient is monitored in the recovery area or ICU.

The procedure takes about 1–2 hours and reduces stroke risk by restoring blood flow to the brain.

Post-Operative Care

  • Monitoring: Observed in recovery for 1–2 days for vital signs and neurological checks.
  • Activity: Gradually resume normal activities; avoid heavy lifting for a few weeks.
  • Medications: Antiplatelet to prevent clots.
  • Follow-up: Regular check-ups to monitor recovery and artery health.
  • Lifestyle: Healthy diet, exercise, quit smoking, and manage risk factors

Benefits of Carotid Endarterectomy

  • Stroke Prevention: Significantly reduces stroke risk.
  • Improved Blood Flow: Restores normal cerebral blood circulation.
  • Symptom Relief: Eases symptoms like TIAs and minor strokes.
  • Long-term Health Benefits: Helps prevent future blockages and enhances overall quality of life.

Complications of Carotid Endarterectomy

Major Risks:

  • Stroke or TIA
  • Heart attack
  • Nerve damage (e.g., facial or swallowing issues)
  • Hyper-perfusion syndrome
  • Re-narrowing of the artery (restenosis)
  • Rare cases of death

Minor Risks:

  • Bleeding or hematoma
  • Infection at the surgical site
  • Nerve injury (e.g., greater auricular nerve)
  • Difficulty swallowing (dysphagia)

Take the First Step towards Stroke Prevention

At TX Hospitals, we are dedicated to providing world-class care for carotid artery disease. Schedule your consultation with our top heart Surgeon in Hyderabad today and experience expert cardiac care tailored to your needs.

For more information, contact TX Hospitals—your trusted partner for advanced vascular and cardiac health solutions.

FAQS:

Symptoms include transient ischemic attacks (TIAs), which cause sudden weakness, difficulty speaking, or loss of balance.

Most patients return to normal activities within a few weeks but should avoid strenuous activities for at least four weeks post-surgery.

Patients are advised to follow a heart-healthy diet, focusing on fruits, vegetables, whole grains, and lean proteins.

While generally considered low-risk, there are some risks, including stroke and heart attack, especially if the patient has other health complications.

The success rate is high, with significant reductions in stroke risk and improved blood flow to the brain, leading to long-term benefits.

TX Hospitals provides personalized follow-up care, lifestyle guidance, and regular check-ups to ensure a smooth and successful recovery

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