Endarterectomy
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| Intervention: Endarterectomy | ||
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| ICD-9 code: | 38.1 | |
| MeSH | D004691 | |
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Endarterectomy is a surgical procedure to remove the atheromatous plaque material, or blockage, in the lining of an artery constricted by the buildup of fatty deposits. It is carried out by separating the plaque from the arterial wall.
It was first performed on a superficial femoral artery in 1946 by the Portuguese surgeon João Cid dos Santos. In 1951, E. J. Wylie, a north-american, performed it on the abdominal aorta. The first successful reconstruction of the carotid artery was performed by Carrea, Molins, and Murphy in Argentina, later in the same year.[1]
The procedure is widely used on the carotid artery of the neck as a way to reduce the risk of stroke, particularly when the carotid artery is narrowed by more than 70%. A carotid endarterectomy may itself cause a stroke at the time of operation, which is why it is not performed prophylactically in asymptomatic patients.
Endarterectomy is also used as a supplement to a vein bypass graft to open up distal segments.
Some forms of pulmonary hypertension may be amenable to endarterectomy of the pulmonary artery. This is a highly specialized procedure.
The term atherectomy is used to describe reconstruction through a catheter.
See also
References
External links
- MeSH Endarterectomy
- Connolly, John E. and Price, Thaine, Aortoiliac Endarterectomy: A Lost Art?, 2005 (abstract)
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
