Carotid endarterectomy is a surgical intervention aimed at removing atherosclerotic plaque from the carotid arteries, which are critical in supplying blood to the brain. This procedure is most commonly indicated for individuals exhibiting significant carotid artery stenosis or those who have experienced symptoms suggestive of cerebrovascular compromise, such as transient ischemic attacks (TIAs).
During the operation, the surgeon exposes the affected arterial segment, carefully excises the obstructive plaque, and subsequently restores arterial patency, thereby re-establishing optimal cerebral blood flow and mitigating the risk of future ischemic events. Postoperative care generally includes a brief period of hospitalization for close monitoring and gradual reintroduction to normal activities.
For sustained benefit, patients are strongly encouraged to address modifiable risk factors—including hypertension, hyperlipidemia, diabetes mellitus, and tobacco use—through lifestyle modification and medical management. Overall, carotid endarterectomy remains a well-established and effective strategy for stroke prevention and long-term vascular health in appropriately selected high-risk populations.