Carotid Endarterectomy Technique in Nice
Dr. Ilya Khantalin, Vascular Surgeon in Alpes-Maritimes
Carotid Endarterectomy Technique
Dr. Ilya Khantalin in Nice
Carotid endarterectomy is a surgical procedure aimed at removing an atherosclerotic plaque located in the carotid arteries, the main vessels supplying blood to the brain. The accumulation of fatty deposits, cholesterol, and inflammatory cells on the inner wall of these arteries can cause narrowing (stenosis), significantly increasing the risk of cerebrovascular accidents (stroke).
Dr. Ilya Khantalin, vascular surgeon in Saint-Laurent-du-Var, offers care to treat vascular diseases using modern and proven techniques.
Endovascular techniques today represent the most modern approaches and are the most commonly used by vascular surgeons, in accordance with the recommendations of the Haute Autorité de Santé and integrated into standardized protocols of surgical practices.
Vascular diseases are recognized as Long-Term Conditions (ALD), allowing 100% coverage by Social Security.
When is this procedure indicated?
Vascular surgeon in Saint-Laurent-du-Var
Carotid endarterectomy is generally recommended in the following cases:
- Significant carotid stenosis (greater than 70%) with symptoms: patients who have experienced transient ischemic attacks (TIA), strokes, or neurological symptoms such as temporary vision loss or speech disorders may be candidates for this intervention.
- Severe asymptomatic stenosis: in some patients, even without symptoms, the procedure may be preventive to reduce the future risk of stroke.
Procedure and follow-up of carotid endarterectomy
Vascular surgery specialist in Saint-Laurent-du-Var
Procedure of the intervention
The operation is performed under general or local anesthesia. An incision in the neck exposes the carotid artery. The surgeon then proceeds to the delicate extraction of the atherosclerotic plaque obstructing the artery. A temporary shunt can be put in place to maintain cerebral blood flow during the procedure. Once the plaque is removed, the artery is repaired, often with a patch.
The procedure usually lasts between 1 and 2 hours.
Post-operative follow-up
After the procedure, careful monitoring is ensured to verify the absence of complications and to monitor blood flow to the brain. Hospitalization usually lasts a few days.
Regular medical follow-up is essential to monitor the condition of the operated artery and to prevent possible recurrence. Doppler exams are frequently performed, and antiplatelet medication is prescribed to avoid the formation of new clots.
Effective stroke prevention
Carotid endarterectomy is a proven surgical solution to prevent strokes in patients with significant carotid stenosis. If you experience symptoms such as vision disturbances, dizziness, or temporary weakness on one side of the body, it is crucial to consult a specialist.
Dr. Ilya Khantalin, vascular surgeon in Saint-Laurent-du-Var, offers personalized and adapted care to treat carotid stenoses and effectively reduce the risk of serious complications.