Carotid artery disease is a leading cause of ischemic strokes, which occur when plaque buildup in the carotid arteries restricts blood flow to the brain. Carotid endarterectomy (CEA) is a highly effective surgical procedure designed to remove blockages, restore circulation, and significantly reduce stroke risk. At Vascular Surgery Associates, our board-certified vascular surgeons in Los Angeles and Santa Monica specialize in advanced stroke prevention techniques, ensuring optimal patient outcomes with proven surgical expertise.
What is Carotid Endarterectomy?
Carotid endarterectomy is a surgical procedure to remove atherosclerotic plaque from the carotid arteries, the major blood vessels supplying oxygen-rich blood to the brain. By clearing the blockage, CEA significantly reduces the risk of stroke and improves blood flow to the brain.
How the Procedure Works
- A small incision is made in the neck to access the blocked artery
- The plaque buildup is carefully removed, restoring normal blood flow
- The artery is repaired with stitches or a synthetic patch to prevent narrowing
- The procedure is completed in approximately 1-2 hours under local or general anesthesia
CEA is considered the gold standard for stroke prevention in patients with moderate to severe carotid artery disease.
Who Needs Carotid Endarterectomy?
CEA is recommended for patients who:
- Have significant carotid artery stenosis (narrowing of 50% or greater) confirmed by imaging tests
- Have experienced transient ischemic attacks (TIAs) or minor strokes due to carotid disease
- Are at high risk for a major stroke if the blockage remains untreated
- Do not qualify for carotid stenting due to anatomy or health conditions
Benefits of Carotid Endarterectomy
CEA is a proven, long-term solution for preventing strokes, offering benefits such as:
- Significant stroke risk reduction in patients with symptomatic carotid stenosis
- Durable results with a low risk of recurrent blockage
- Minimally invasive compared to emergency stroke treatment
- Improved blood flow to the brain, enhancing cognitive function in some cases
Studies show that CEA reduces the risk of stroke by up to 75% in patients with high-grade carotid stenosis, making it a life-saving procedure.
What to Expect Before, During, and After Surgery
Before Surgery
- Patients undergo ultrasound, CT, or MRI angiography to assess artery blockages
- Pre-surgical instructions and medication adjustments will be provided
During Surgery
- A small incision is made in the neck to access the carotid artery
- Plaque is carefully removed, and the artery is repaired
- The procedure takes 1-2 hours, with patients monitored for stroke symptoms
After Surgery
- Most patients return home within 24-48 hours
- Mild neck discomfort and swelling may occur but resolve quickly
- Patients resume normal activities within 1-2 weeks
- Follow-up imaging ensures the artery remains open and functioning properly
Frequently Asked Questions About Carotid Endarterectomy
The benefits of CEA are long-term, with most patients experiencing permanent stroke risk reduction.
CEA is a highly successful procedure with a low complication rate when performed by experienced vascular surgeons.
Some patients may require lifestyle modifications and medications to prevent further arterial disease.
Risks include stroke, bleeding, or infection, but success rates are over 95% with expert care.
Most insurance plans, including Medicare, cover CEA for medically necessary stroke prevention.
Dedicated to Excellence in Vascular Care Since 1963
Vascular Surgery Associates (VSA) has established itself as a cornerstone of vascular health in Southern California, combining decades of experience with cutting-edge treatment methods. Founded by visionary surgeons in 1963, our practice has grown from pioneering beginnings into one of the busiest and most respected vascular surgery groups in the Western United States.
Protect Your Brain Health | Schedule a Stroke Prevention Consultation
If you have carotid artery disease or a history of TIAs, carotid endarterectomy can significantly reduce your risk of stroke. At Vascular Surgery Associates, our leading vascular surgeons in Los Angeles and Santa Monica provide expert stroke prevention treatment with exceptional outcomes.
Contact us today to schedule a consultation and take control of your vascular health.