Types of Carotid Artery Surgery
MedlinePlus states that two types of carotid artery surgery are done to remove plaque: carotid endarterectomy and carotid angioplasty and stenting. Carotid endarterectomy, which is done while the patient is under anesthesia, is the most invasive form of carotid artery surgery. The procedure begins with an incision made over the carotid artery, followed by an insertion of a catheter to move the blood away from the blocked artery during the surgery. The carotid artery is then opened, the plaque is removed and the artery is sewn up. Because the carotid artery is a major artery between the brain and the heart, both organs are monitored closely for any distress or change in function.
The other surgical option, carotid angioplasty and stenting, is the less invasive form of carotid artery surgery. MedlinePlus notes that during carotid angioplasty and stenting, fluoroscopy, a type of x-ray, is used to view the blocked artery. Like carotid endarterectomy, an incision is made for the insertion of a catheter; however, the angioplasty incision is made by the groin while the patient is numbed. Once inserted, the catheter is guided up towards the blocked artery. The balloon at the end of the catheter is pushed into the blockage. Once there, it is blown up and pressed against the wall of the artery to open it up. Once blood flow resumes normally, the balloon is removed.
If the inflated balloon is not enough to keep the blocked artery open, a stent may be inserted at the same time as the balloon. MedlinePlus states that a stent is a tiny tube that can be made of plastic mesh-like material or metal. Unlike the balloon, the stent is left in the artery.