Patients suffering carotid artery disease can turn to the experts at the Division of Vascular and Endovascular Surgery at Mount Sinai Beth Israel for the latest surgical interventions. We offer both open and minimally invasive treatment options for patients with carotid artery disease.
The two carotid arteries are located on either side of the neck, and carry blood to the brain. Like other blood vessels, they can develop waxy deposits, called plaque, that narrow their diameter. When this happens, less blood flows to the brain and a person can suffer a stroke.
When is it needed? A carotid endarterectomy is the traditional procedure for removing built-up plaque, resulting in a wider artery and better blood flow to the brain. Open surgery is the preferred treatment option in most cases.
What happens? Through a small incision in the neck the carotid artery is opened. The surgeon removes built-up plaque from the artery. Blood now flows normally to the brain through the widened artery. Hospital stay is 1-2 days.
When is it needed? Carotid angioplasty and stenting is used for patients that have had a carotid endarterectomy (CEA), radiation to the neck, or exhibit symptoms that put them at high risk for developing carotid artery disease or stroke.
What happens? During angioplasty, a tiny balloon is placed inside the artery and inflated. This pushes plaque against the walls of the artery, restoring normal blood flow. The balloon is removed, and a slender metal tube called a stent is placed at the problem area–permanently–to keep the artery wide open and let blood flow normally to the brain.