Orthodox Techniques of Carotid Endarterectomy

Abstract

Carotid endarterectomy (CEA) is a surgical procedure with proven efficacy against carotid artery stenosis. In order for surgery to be classified as advantageous over medical treatment, the technique must have a guaranteed lo complication rate. To ensure the safety and reliability of CEA, surgeons must perform risk evaluation of surgery by preoperative diagnostic imaging; furthermore, during surgery, the surgeons must define a sufficient surgical field, perform an accurate dissection based on anatomical knowledge, and perform protective manipulation of the arteries, including carotid plaques. Furthermore, reliable hemostasis and arterial suturing are important because the surgery is performed with continuous antiplatelet agents.