Carotid Endarterectomy in Vadodara | Dr. Kushan Nanavati | Best Vascular Surgeon

Carotid Endarterectomy

Brain stroke or Brain attack is a condition similar to heart attack, occuring due to inadequate blood supply to brain.

Why it’s an emergency condition?
Inadequate blood supply to brain can damage a part of brain, which can lead to paralysis/death.
Why brain stroke occurs?
There are 2 types of stroke
  1. Ischemic stroke (more common)- When fat & calcium builds up inside blood vessels (carotid arteries) supplying brain, it leads to reduced blood flow in brain. Inadequate oxygen supply due to reduced blood flow can damage brain cells leading to Brain Stroke.
  2. Haemorrhagic stroke (less common)-Occurs due to rupture of blood vessel inside brain.
Am I at risk?
If you have following risk factors then answer is YES.
Risk Factors-Old age (>50 years)
  • Smokers or Tobacco chewing (Any age group)
  • Diabetes Mellitus
  • High Blood Pressure
  • High blood cholesterol levels, Obesity
  • Previous history of Heart attack, Peripheral Arterial Disease
Consult a vascular surgeon for check-up if you have any risk factor. Take care of your brain equally, just like you care for heart.
What are symptoms / presentation?
  • Dizziness
  • Difficulty / disturbance in speech
  • Tansient blackout of vision
  • Temporary / permanent paralysis (loss of movements) of hand/leg.
How can my vascular surgeon help me?
Vascular surgeon will do clinical examination + carotid Doppler and/or CT angiography / DSA of your carotid arteries. After confirming diagnosis, he can further guide about treatment options.
What are the treatment options?
  1. Carotid artery block less than 60% Life time medication & annual consultation + Doppler examination by your vascular surgeon.
  2. Carotid artery block more than 60% Two treatment options.
    1. Carotid Endarterectomy - more preferred
    2. Carotid stenting - less preferred
What is carotid artery?
Carotid artery is the main blood vessel supplying brain. Blockage/narrowing in carotids can cause brain stroke.
How can carotid endarterectomy help preventing stroke?
Carotid endarterectomy is the plaque/block removal surgery from carotid artery. It re-establishes normal blood flow to brain & prevents Brain stroke.

How the surgery is performed?
By putting a small skin cut, damaged carotid artery is opened. Plaque causing narrowing is removed & artery is repaired using a special patch. Blood supply is maintained using a shunt(plastic tube) during surgery.
Carotid Endartrectomy
What is the duration of procedure? How many days I have to remain admitted in hospital?
Duration of procedure is 2 hours, done under general anesthesia. You have to remain admitted in hospital for total 2 to 3 days.
What are the possible complications of angioplasty?
Minimal risk of perioperative brain stroke is there (3 to 4%), but if we don’t remove the blockage, the risk is 10 times higher.
When can I restart my routine & office work?
You can resume work after 1 week of rest. Lifelong medication needs to be taken.
Can I prevent getting my carotid arteries blocked before I get Stroke?
Yes.Few precautions can help you.

Precautions - Take regular medications if you have chronic diseases (Diabetes, Hypertension)
  • Stop tobacco/smoking
  • Strict control of Blood sugar, blood pressure & blood cholesterol levels.
  • Regular Exercise & Healthy life style
  • Regular follow up with doctor

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