Carotid Endarterectomy in India

What is Carotid Endarterectomy?

Carotid endarterectomy (CEA) is a preventive vascular neurosurgical procedure in which the surgeon opens the common and internal carotid artery in the neck to remove calcified atherosclerotic plaques, eliminating the primary source of thromboembolic strokes.

Indications & Common Reasons for Surgery

This advanced neurosurgical intervention is recommended for patients diagnosed with:

• Symptomatic carotid stenosis (>50–70% narrowing) following transient ischemic attack (TIA) or minor stroke.
• Asymptomatic severe carotid stenosis (>70–80%) discovered on carotid duplex ultrasound.
• Ulcerated, unstable plaque morphology carrying high embolic risk.

Surgical Techniques & Precision Modalities

Longitudinal or eversion arteriotomy with temporary intraluminal shunt to maintain continuous brain blood flow, meticulous plaque endarterectomy, and patch angioplasty closure. The procedure is performed in advanced modular operating suites equipped with 3D neuronavigation, high-definition intraoperative microscopes, neuro-endoscopy, and real-time electrophysiological monitoring to preserve vital neurological functions.

Postoperative Care & Recovery Timeline

Short 24 to 48 hours hospital stay with immediate reduction in long-term stroke risk by more than 60–70%. Patients benefit from specialized neuro-intensive care, personalized neuro-rehabilitation, and multidisciplinary follow-up to support optimal long-term functional outcomes.

Key Clinical Benefits

• Targeted, maximal safe anatomical correction and pathology excision.
• Protection of eloquent brain areas and essential cranial nerve pathways.
• Significant alleviation of neurological symptoms and prevention of secondary brain injury.
• Accelerated recovery supported by modern microsurgical and minimally invasive techniques.