Steps to Technical Expertise in Carotid Endarterectomy

Carotid endarterectomy is a prophylactic operation that is designed to prevent strokes related to atherosclerotic plaques in the carotid bifurcation. Once a plaque is safely removed, a major potential cause for stroke in that patient is eliminated. However, the operation itself carries two major risks: death and stroke. These risks are related to patient selection and technical expertise in the performance of the operation. This chapter will focus upon those aspects of surgical technique, when properly applied, that can minimise the risks of surgical complication and thus permit the operation to achieve its highest potential of stroke prevention.