Endarterectomy- plaque removal by surgical excision and closure
ICD-9-CM
38.1
MeSH
D004691
[edit on Wikidata]
Endarterectomy is a surgical procedure to remove the atheromatous plaque material, or blockage, in the lining of an artery constricted by the buildup of deposits. It is carried out by separating the plaque from the arterial wall.
It was first performed on a subsartorial artery in 1946 by a Portuguese surgeon, João Cid dos Santos, at the University of Lisbon. In 1951, E. J. Wylie, an American, performed it on the abdominal aorta. The first successful reconstruction of the carotid artery was performed by Carrea, Molins, and Murphy in Argentina, later in the same year.[1]
Atherosclerotic plaque from a carotid endarterectomy specimen
An endarterectomy of the carotid artery in the neck is recommended to reduce the risk of stroke when the carotid artery is severely narrowed, particularly after a stroke to reduce the risk of additional strokes.[citation needed]
Coronary endarterectomy involves removing atheroma from the wall of blocked blood vessels (coronary) supplying the heart muscle. The concept was first introduced by Bailey[2] in the 1950s prior to the advent of coronary artery bypass surgery to help patients with angina and coronary artery disease. It is still used today when coronary artery bypass surgery proves difficult. Livesay[3] in Texas and Nair[4] in Leeds have published the largest series in the world.
A femoral endarterectomy is also frequently used as a supplement to a vein bypass graft at the sites of surgical anastomosis. Pulmonary hypertension caused by chronic thromboembolic disease (CTEPH) may be amenable to pulmonary thromboendarterectomy of the pulmonary artery. This procedure was refined by Jamieson over the last two decades and his technique has become the standard worldwide.[5]
^Thompson, Jesse E. (August 1996). "The Evolution of Surgery for the Treatment and Prevention of Stroke: The Willis Lecture". Stroke. 27 (8): 1427–1434. doi:10.1161/01.str.27.8.1427. PMID 8711815.
^Bailey, Charles P.; MAY A; LEMMON WM (1957). "Survival After Coronary Endarterectomy in Man". Journal of the American Medical Association. 164 (6): 641–646. doi:10.1001/jama.1957.02980060017005. PMID 13428537.
^Livesay, James J.; Cooley, Denton A.; Hallman, Grady L.; Reul, George J.; Ott, David A.; Duncan, J. Michael; Frazier, O. Howard (October 1986). "Early and late results of coronary endarterectomy". The Journal of Thoracic and Cardiovascular Surgery. 92 (4): 649–660. doi:10.1016/S0022-5223(19)35867-2.
^Ariyaratnam, Priyadharshanan; Javangula, Kalyana; Papaspyros, Sotiris; McCrum-Gardner, Evie; Nair, Ramanpillai Unnikrishanan (1 December 2012). "Long-term survival from 801 adjunctive coronary endarterectomies in diffuse coronary artery disease". European Journal of Cardio-Thoracic Surgery. 42 (6): e140–e145. doi:10.1093/ejcts/ezs510. PMID 23014969.
^Jamieson, Stuart (2011-10-15). "Bypass, circulatory arrest, and pulmonary endarterectomy". The Lancet. 378 (9800): 1359–1360. doi:10.1016/S0140-6736(11)61384-6. ISSN 0140-6736. PMID 22000123. S2CID 12353955.
Endarterectomy is a surgical procedure to remove the atheromatous plaque material, or blockage, in the lining of an artery constricted by the buildup of...
Carotid endarterectomy is a surgical procedure used to reduce the risk of stroke from carotid artery stenosis (narrowing the internal carotid artery)....
endarterectomy decreases the 5-year risk of ischemic stroke by about 16%. For those with extra-cranial stenosis less than 50%, carotid endarterectomy...
Meanwhile, treatment can vary from surgical interventions such as bypass, endarterectomy, and embolectomy, to blood-thinning medication. Signs and symptoms of...
pulmonary thromboendarterectomy (PTE), also referred to as pulmonary endarterectomy (PEA), is an operation that removes organized clotted blood (thrombus)...
treatment options available including the standard treatment of pulmonary endarterectomy (PEA). Balloon pulmonary angioplasty (BPA) and pulmonary vasodilator...
perform at least 60 abdominal aortic aneurysm procedures and 40 carotid endarterectomies a year. 12 trusts missed both targets and many more missed one of them...
Iatrogenic: Amaurosis fugax can present as a complication following carotid endarterectomy, carotid angiography, cardiac catheterization, and cardiac bypass. Ocular...
severe (50–99% blockage) stenosis, and symptoms, should have "urgent" endarterectomy within 2 weeks. When the plaque does not cause symptoms, people are...
narrowing of the carotid artery in high-risk patients, when carotid endarterectomy is considered too risky. Carotid stenting is used to reduce the risk...
Percutaneous treatment is less invasive than endarterectomy, usually requiring only local anesthesia. Endarterectomy is still considered safer though, as percutaneous...
Medication is the most common method of stroke prevention; carotid endarterectomy can be a useful surgical method of preventing stroke. High blood pressure...
percutaneous coronary intervention, coronary artery bypass graft, or carotid endarterectomy. Genetic factors are also strongly implicated in the disease process;...
coronary artery, just above and below the blockage to allow bypass. Endarterectomy: This is the general procedure for the surgical removal of plaque from...
neurosurgery includes clipping of aneurysms and performing carotid endarterectomy (CEA). Stereotactic neurosurgery, functional neurosurgery, and epilepsy...
machine for making grafts. DeBakey performed the first successful carotid endarterectomy in 1953. A year later, he pioneered techniques in grafts for the various...
arterial circulation at the base of the brain (inferior view). Carotid endarterectomy Carotid body This article incorporates text in the public domain from...
with a partially blocked left carotid artery. He underwent carotid endarterectomy to remove the blockage. The procedure went well enough that Barker was...
hole in the artery to perform an anastomosis. This technique is called endarterectomy and is usually performed at the right coronary system. Re-operations...
for patients at high risk for undergoing carotid endarterectomy (CEA). Although carotid endarterectomy is typically preferred over carotid artery stenting...
of a blood vessel as a complication of a reconstruction procedure or endarterectomy. Intimal hyperplasia is the universal response of a vessel to injury...
and the patient has residual function in the affected side, carotid endarterectomy (surgical removal of the stenosis) may decrease the risk of recurrence...
atheromatous plaque, plaque Atherosclerotic plaque from a carotid endarterectomy specimen. This shows the division of the common into the internal and...
usually severe headache, and a headache in the setting of recent carotid endarterectomy or carotid stenting should prompt a return to the hospital and close...
percutaneous intervention with access from the opposite femoral may be needed. Endarterectomy, a surgical cut down and removal of the plaque of the femoral artery...
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