Endarterectomy

Endarterectomy: what it is and why it is performed

Endarterectomy is a surgical procedure used to remove an artery blocked by atheroma with or without a blood clot (thrombus). Previously, this operation was called thromboendarterectomy. During the procedure, the inside of the artery wall is removed along with the blood clot in the artery. This helps restore the normal lumen of the artery and allows blood flow to reach the tissues located below the site of blockage of the artery.

The operation is most often performed to remove blockages in the carotid artery or arteries of the legs, since these are the arteries that often become the subject of blockages that can lead to serious consequences. If the carotid artery is blocked, the blood supply to the brain may be disrupted, which can lead to a stroke. And blockage of the leg arteries can lead to complications such as ulcers and gangrene.

Previously, before endarterectomy, the patient undergoes a series of examinations, including ultrasound examination of blood vessels, computed tomography and angiography. They help determine the location of the blockage and its nature, and also allow you to choose the most effective method of performing the operation.

The operation itself is performed under general anesthesia. The surgeon makes a small incision in the skin and cuts through the artery. Then he removes the atheroma along with a blood clot, if any, and suturing the artery. After the operation, the patient remains in the hospital for several days to observe and monitor the condition of the postoperative wound.

Although endarterectomy is considered a relatively safe procedure, it can lead to some complications such as bleeding, infection, blood clot formation, or damage to other vessels. Therefore, it is important to choose experienced surgeons and follow all recommendations after surgery to minimize possible risks.

In conclusion, endarterectomy is an effective procedure for clearing blocked arteries and can prevent serious complications such as stroke or gangrene. But like any surgical procedure, it has its risks, so patients should discuss all possible aspects of the procedure with their doctor and make an informed decision about having it.



Endarterectomy is a surgical intervention aimed at removing the inner lining of the vessel, as well as a blood clot, if present. This procedure is performed when the lumen of a vessel is blocked.

Endarterectomy is an operation to remove the inner lining of blood vessels, called the intima. This procedure may be performed to remove a blood clot that has formed on the inner wall of an artery.

The operation can be performed on the vessels of the brain, heart, limbs, as well as on the vessels of the kidneys. It can be either planned or emergency.

Before the operation, the patient is prepared, including blood and urine tests, as well as an ECG. On the day of surgery, the patient is given anesthesia. After this, the doctor makes a small incision in the skin and performs the operation.

After the operation, the patient is in the hospital under the supervision of doctors. You may experience weakness, dizziness, and other symptoms for several days after surgery. However, after a few days the patient's condition improves and he can return to normal life.



Endarterectomy: methodological knowledge about the surgical operation

Endarterectomy (endoarterectomy, English endarterectomy - excision of intravascular formations) is a surgical operation to restore the mobility and patency of arteries by removing excess connective tissue in its walls - the formation of so-called blood clots and atherosclerotic plaques, which significantly reduce blood flow. This method is the main one in the treatment of aneurysms of various origins. Certain conclusions can be drawn from this information. The significance of the operation If a vascular focus occurs in the arterial system - an embolus (or thrombus) blocking the lumen of the artery - it is necessary to begin taking appropriate measures as soon as possible, because the sooner the patient begins treatment, the less likely it is for complications to occur and cerebral circulation to stop.

The first prerequisite for such treatment is the exclusion of the causes that provoked the occurrence of the pathology. There are three methods for eliminating pathological foci in blood vessels - these are endovascular methods, surgery, physiotherapy and balneological treatment, and nutrition correction. Endarterectomy is an operation that allows you to restore the patency of clogged vessels that carry blood to the tissues located below the affected area. This procedure gives results if the level of development of atherosclerosis does not exceed stage IIA. Indications

Indications are the following diseases and pathological conditions: * Atherosclerosis with III-V stage of neglect; * Arterial aneurysms; * Endarternal occlusions; * Recurrent phenomena of thrombophlebitis, in which repeated blockage of vein vessels with blood clots occurs. Issues

The indication for surgery is blocking a significant portion of the arterial lumen. Thus, in patients with moderate manifestations of the disease, the procedure will give results, but the chances of a cure will be quite small. Surgical intervention is indicated only when the patient’s condition deteriorates sharply and his life and health are at risk. It is not recommended to carry out planned excisions, since the disease at the initial stage can “reverse development” without treatment.