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Carotid Artery Disease is a leading cause of stroke. Plaque hardens and narrows arteries over time. This may reduce the flow of oxygen-rich blood to your organs and other body components.

The procedure of Carotid Endarterectomy in India is used to treat Carotid Artery Disease. This condition develops when fatty, waxy deposits form in one of the carotid arteries. The carotid arteries are blood vessels that run down each side of your neck.

The Cost of Carotid Endarterectomy Surgery in India is quite affordable as compared to other developed countries. The total treatment plan may vary as per the severity of the patient as well as location of the hospital.

What Is Carotid Endarterectomy

The surgical removal of plaque (fat and cholesterol buildup) from inside the carotid artery, which provides blood to your brain and face, is known as a Carotid Endarterectomy in India. Each side of your neck has one carotid artery. When plaque builds up in the walls of your carotid arteries, blood flow might slow or stop. A stroke can occur if enough blood cannot reach your brain.

The carotid arteries are the main channels of blood that carry nutrients as well as oxygen to the neck, face, and brain. Carotid Endarterectomies are performed when one or both carotid arteries become constricted due to the accumulation of fatty deposits (plaque). This is referred to as carotid artery disease or stenosis.

A vascular surgeon will do the following tests to determine whether a Carotid Endarterectomy in India is appropriate for you:

  • Examine you.
  • Assess your medical history.
  • Conduct diagnostic tests.

You and your doctor will decide whether to pursue surgical treatment. This surgery is carried out in a hospital operating unit by the Best Vascular Surgeon in India.

A local or general anesthetic is used during carotid endarterectomy. Your surgeon creates an incision in the front of your neck, opens your carotid artery, and removes the plaques that have clogged it. The artery is then repaired with stitches or a patch created from a vein or artificial material (patch transplant) by your surgeon.

A method known as Eversion Carotid Endarterectomy in India is occasionally employed by surgeons. This procedure involves disconnecting the carotid artery and turning it inside out before removing the plaque. The artery is then reattached by your surgeon.

Carotid Endarterectomy Surgery Cost in India

Affordable Carotid Endarterectomy Surgery cost in India starts from INR 2,16,000 (2,600 USD). The entire treatment cost plan may vary depending on the type of hospital and city picked by the patient. Also, the Cost of  Carotid Endarterectomy Surgery in India can vary depending on a number of criteria.

Factor That Affects Carotid Endarterectomy Surgery Cost in India

  • The package of Carotid Endarterectomy Surgery in India can depend on the hospital’s preference.
  • Doctor’s competence and experience in the subject.
  • The patient’s situation: The patient’s disease and whether additional modalities are required for comprehensive treatment.
  • Duration of hospitalization and stay for Carotid Endarterectomy Surgery in India.
  • Need for post-operative care.

Who Is the Right Candidate for Carotid Endarterectomy Surgery

Atherosclerosis is the most common Cause of Carotid Artery Narrowing. This is a plaque buildup in the artery’s interior lining. Plaque is composed of lipids, cholesterol, cellular waste products, calcium, and fibrin. Atherosclerosis is sometimes known as “hardening of the arteries.” It has the potential to harm arteries throughout the body. The Symptoms of Carotid Artery Disease are similar to those of coronary artery disease. Blockages happen in the arteries of the heart in coronary artery disease, which can lead to a heart attack. It can cause a stroke in the brain.

To function properly, the brain requires a steady supply of oxygen and nutrients. Even a small interruption in blood supply can cause complications. After only a few minutes without blood or oxygen, brain cells begin to die. A stroke can occur if the narrowing of the carotid arteries gets severe enough to impede blood flow, or if a piece of plaque breaks off and prevents blood supply to the brain. A mini-stroke (transient ischemic attack or TIA) is characterized by stroke-like symptoms lasting only a few minutes to a few hours. A TIA could be the disease’s initial indication.

If you have carotid artery disease, you may not experience any symptoms. Plaque accumulation may not be blocking enough blood flow to induce symptoms. An artery that is just partially stopped or less frequently does not generate any symptoms.

Your doctor may recommend a carotid endarterectomy for additional reasons.

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Procedure

How Carotid Endarterectomy Surgery is Performed

Before the Procedure

  • In addition to a physical checkup, you may be subjected to tests a few days before your treatment to determine that the surgery is safe to execute. A cerebral angiography may be ordered by your surgeon to better identify the anatomy of your brain. A cerebral angiography is an invasive diagnostic technique that creates X-ray images of the inside of your brain’s blood vessels.
  • However, in many cases, your healthcare physician can now obtain this information via a CT or MR angiography. These are noninvasive ways for obtaining information about your carotid arteries and brain that can be conducted without the risk of a stroke.
  • Certain medications may need to be stopped before your carotid endarterectomy, so make sure to notify your healthcare practitioner about everything you’re taking (including non-prescription pharmaceuticals, herbs, and vitamins). 
  • Your healthcare team will provide you with detailed information to assist you in preparing for your treatment. Most folks will continue to take aspirin throughout the surgery. If you are using aspirin or clopidogrel, you should consult your doctor before discontinuing these medications.

Carotid Endarterectomy Surgery Procedure

During the Procedure

A Carotid Endarterectomy in India usually takes about two hours.

Your healthcare practitioner will either administer general anesthesia (which causes you to go asleep) or regional anesthesia, which causes you to remain awake but numb the area to be operated on. You will be given medication to help you relax if you have regional anesthesia.

The following steps are taken by the surgeon during a carotid endarterectomy:

  1. Make a 4-inch incision in your neck at the location of the blockage.
  2. A small tube may be used to temporarily divert blood flow around the blockage or constriction while isolating the location.
  3. Makes an incision along the artery that contains the plaque.
  4. Removes the plaque and sutures the gap closed, usually with a patch of material to expand the artery and prevent further constriction.
  5. Restores blood flow to the brain via the regular route.

After the Procedure

Most people stay in the hospital overnight to monitor for complications following their treatment.

A temporary drain may be placed in your neck to collect fluid from the area where your provider made an incision. This drain is normally only in place for one day.

Your operation results will be discussed with you by your healthcare provider. This technique, for the most part, helps prevent future brain injury and lowers the chance of stroke. However, unless you adopt a better lifestyle, plaque buildup, clot formation, and other carotid artery problems may reoccur.

What is the Cost of Carotid Endarterectomy Surgery in India

The average Cost of Carotid Endarterectomy Surgery in India starts from USD 2600. The entire treatment cost plan may vary depending on the type of hospital and city picked by the patient. Also, Cost of  Carotid Endarterectomy Surgery in India can vary depending on a number of criteria, such as:

  • The package of Carotid Endarterectomy Surgery in India can depend on the hospital’s preference.
  • Doctor’s competence and experience in the subject.
  • The patient’s situation: The patient’s disease and whether additional modalities are required for comprehensive treatment.
  • Duration of hospitalization and stay for Carotid Endarterectomy Surgery in India.
  • Need for post-operative care.

What Are the Advantages of Carotid Endarterectomy Surgery in India

If you’ve ever had a stroke, a carotid endarterectomy can reduce your risk of having another one by one-third in the three years following surgery. The majority of people endure the process well.

Even if the treatment is successful, your doctor may advise you to:

  • Enhancing your diet.
  • Beginning to exercise 
  • Tobacco products are not used. 
  • Reduce your stress level.
  • Taking cholesterol-lowering medication.

These steps can help prevent plaque from forming again.

How Recovery is Done

A carotid endarterectomy heals quickly. The majority of patients return home the next day. It’s fine to shower when you come home. Just don’t scrub the surgical adhesive or spray it with water.

Check your incision on a daily basis and avoid using lotions on it. Wear clothes that do not rub against your incision.

In three or four weeks, you should be able to resume most of your routine activities. You can drive once your incision has healed and turning your head is no longer painful. For six months to a year, the area surrounding your jawline and earlobe may seem numb.

Conclusion

A carotid endarterectomy can improve blood flow and help prevent future strokes if you’ve had a stroke or have carotid artery disease. You and your doctor can determine if this procedure is good for you. Even if it is, you will have a better chance of treating carotid artery disease if you improve your diet, move more, and reduce your stress. Attend your follow-up appointments and continue to take your prescription medications.

The Most Important Frequently Asked Questions

Q: What Exactly Is a Carotid Endarterectomy?

A: Carotid endarterectomy is a surgical operation used to remove fatty deposits (plaque) that create a constriction of the carotid artery. The carotid arteries are the main blood channels that carry oxygen and nutrients to the neck, face, and brain.

Q: What Position Is a Carotid Endarterectomy?

A: Positioning for CEA

All patients are positioned supine, with the head on a solid holder and the neck extended and rotated away from the side of surgery. Surgeons employ a variety of techniques to stretch the patient’s neck and insert a pillow beneath the neck and shoulder.

Q: What Are Different Types of Carotid Endarterectomy?

A: The classical/conventional method and the eversion method are the two basic surgical procedures for carotid endarterectomy. In order to reach the carotid sheath, the surgeon makes an incision alongside the medial aspect of the sternocleidomastoid muscle, cutting through fat and the platysma muscle.

Q: Which Nerves Are at Risk with Endarterectomy?

A: Because of their close anatomical proximity to the carotid bifurcation, the nerves most at risk of injury during carotid endarterectomy are the marginal mandibular branch of the facial (Vth) nerve, the laryngeal branches of the vagus (Xth) nerve, and the hypoglossal (XIIth) nerve.

Q: What Medications Are Administered Following an Endarterectomy?

A: Take your meds as directed to keep plaque from forming in your arteries. Continue to take Aspirin (acetylsalicylic acid, ASA) and/or Plavix (clopidogrel) as directed by your doctor. Make lifestyle modifications to maintain your blood sugar, blood pressure, and cholesterol under control.

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