Vascular Disease A-Z

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Angioplasty Stenting for Arterial Occlusive Disease

Aortic Aneurysm

Arterial Bypass Surgery

Atherosclerosis

Carotid Artery Disease

Carotid Endarterectomy

Carotid Stenting

Deep Vein Thrombosis and Thrombophlebitis

Endovascular Repair of Abdominal Aortic Aneurysm

Lower Extremity Arterial Occlusive Disease

Peripheral Vascular Disease

Renal and Mesenteric Artery Occlusive Disease

Sclerotherapy for Varicose Veins

Thrombosis

Varicose Vein Ligation and Stripping

Varicose Veins

Venous Insufficiency and Venous Ulcers

 
 
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Carotid Endarterectomy- Performed at MGH to Treat Carotid Artery Disease

Carotid Endarterectomy

Carotid endarterectomy is a surgical procedure for removing plaque from the carotid arteries to allow an unobstructed flow of blood to the brain. Carotid endarterectomy is indicated in more severe cases of carotid artery disease.

The surgery takes approximately 1.5 to 2 hours. The surgeon first makes a small incision on the side of the neck to expose the artery. The affected area of the artery is clamped so that the surgeon does not disturb blood flow; sometimes a shunt is used to divert blood that generally flows down this pathway. The artery is then opened, and a special instrument is used to remove plaque from the inside of it. The artery is then sutured closed. In some cases, the surgeon may widen that area of the artery with a synthetic graft. Under normal circumstances, the carotid endarterectomy procedure requires only an overnight stay in the hospital.

Some patients may be too ill or unable to tolerate a carotid endarterectomy, and a less invasive procedure called carotid stenting may be indicated instead.

 

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