Last Updated on December 2, 2025 by Bilal Hasdemir

Every year, thousands of people have vascular surgery for carotid artery disease. This disease happens when plaque builds up in the carotid arteries, leading to stroke. Learn what kind of doctor does a carotid endarterectomy. Understand the specialist (vascular surgeon) for this procedure clearly.
A carotid endarterectomy is a surgery that removes this plaque. It greatly lowers the chance of stroke. But, who performs this precise surgery?
We will look into the medical experts who do carotid stenosis treatment. They make sure patients get the best care.

Key Takeaways

• Vascular surgeons specialize in performing carotid endarterectomies.
  
• This surgical procedure is key for treating carotid artery disease.
  
• Carotid endarterectomy greatly lowers the risk of stroke.
  
• Patients should talk to a vascular specialist to find the best treatment.
  
• Advanced medical treatments and support services are available for international patients.
  

Understanding Carotid Artery Disease

It’s key to know about carotid artery disease to avoid strokes and keep your heart healthy. This disease happens when plaque builds up in the carotid arteries, causing them to narrow. Knowing its causes, symptoms, and risk factors is very important.

What Is the Carotid Artery and Its Function?

The carotid arteries are two big blood vessels in the neck. They carry oxygen-rich blood to the brain, neck, and face. The internal carotid artery is very important for the brain. Keeping these arteries healthy is essential to prevent carotid artery blockage and stroke.

Risk Factors for Carotid Artery Blockage

Many factors can lead to carotid artery disease and blockage. These include:

• High blood pressure
  
• Smoking
  
• High cholesterol
  
• Diabetes
  
• Family history
  

Knowing these risk factors and how carotid artery disease develops helps you take steps to stay healthy. Regular health checks and screenings can spot issues early, allowing for quick action.

Carotid Endarterectomy: Definition and Purpose

Carotid endarterectomy is a surgery that removes plaque from the carotid artery. This helps improve blood flow to the brain. It’s key for stopping strokes in people with blocked carotid arteries.

What Defines a Carotid Endarterectomy Procedure

This surgery removes plaque from the carotid artery. It’s done to make sure blood flows well to the brain. This lowers the chance of having a stroke.

History and Evolution of Surgery

The idea of carotid endarterectomy started in the 1950s. It has grown a lot over time. Modern surgical techniques and better care before and after surgery have made it safer and more effective.

When This Procedure Is Medically Indicated

This surgery is needed for people with serious blockages in the carotid artery. It’s also for those who have had mini-strokes or strokes. Doctors decide if someone needs surgery based on how blocked the artery is, if they have symptoms, and their overall health.

Medical Specialists Who Perform Carotid Endarterectomy

Carotid endarterectomy is done by skilled vascular surgeons and other experts. Choosing the right specialist is key for a successful surgery.

Vascular Surgeons as Primary Specialists

Vascular surgeons are usually the first choice for this surgery. They are well-trained in vascular surgery. They can handle complex vascular issues, like carotid artery disease.

Neurosurgeons and Cardiac Surgeons

Neurosurgeons also play a big role, mainly when brain expertise is needed. Cardiac surgeons with vascular training can also perform carotid endarterectomy.

Training and Certification Requirements

All surgeons doing this surgery must have proper training and certification — often from the American Board of Surgery or the American Board of Neurological Surgery.

The Role of Vascular Surgeons in Carotid Procedures

Vascular surgeons are key in carotid endarterectomy. Their training in vascular surgery is vital for managing carotid artery disease.

Specialized Training for Vascular Surgeons

They complete medical school, a general surgery residency, and a vascular surgery fellowship, preparing them for complex vascular cases.

Why Vascular Surgeons Commonly Perform This Procedure

Their deep knowledge of vascular anatomy and surgical techniques makes them ideal for carotid endarterectomy.

Finding a Qualified Vascular Surgeon

Choose a board-certified vascular surgeon with fellowship training and significant experience with carotid endarterectomy.

The Multidisciplinary Approach to Carotid Disease

Carotid artery disease care involves collaboration between vascular surgeons, neurologists, radiologists, and primary care physicians.
Together, they ensure comprehensive diagnosis, treatment, and prevention of stroke.

Diagnosing Carotid Artery Disease

Diagnosis involves symptoms review, physical exams, and imaging tests like carotid ultrasound, CTA, and MRA.
Understanding the degree of carotid stenosis helps decide if surgery is necessary.

Preparing for a Carotid Endarterectomy

Preparation includes consultations, adjusting medications, and following pre-surgical instructions. Patients should discuss:

• Surgical experience
  
• Recovery process
  
• Potential risks
  

The Carotid Endarterectomy Procedure Step by Step

It involves anesthesia, neck incision, plaque removal, artery closure, and recovery monitoring.

Recovery After Carotid Endarterectomy

Patients typically stay in the hospital for one to two days. They must follow activity restrictions and attend follow-up visits to ensure proper healing.

Potential Risks and Complications

While generally safe, risks include mild swelling, nerve damage, or stroke.
Surgeons minimize risks through careful screening and precise technique.

Alternative Treatments to Carotid Endarterectomy

Alternatives include:

• Carotid artery stenting
  
• Medical management
  
• Transcarotid artery revascularization (TCAR)
  

Insurance Coverage and Costs in the United States

Most insurance and Medicare plans cover this surgery when medically necessary, though coverage levels vary.

Success Rates and Long-term Outcomes

Clinical studies show stroke risk reduction by up to 50%.
Patients report improved quality of life and long-term vascular health.

Conclusion

Carotid endarterectomy is a vital, proven surgery that prevents strokes by removing plaque from carotid arteries.
Performed primarily by vascular surgeons, it remains a cornerstone treatment for carotid artery disease.

FAQs

References

National Center for Biotechnology Information. Evidence-Based Medical Insight. Retrieved from https://pubmed.ncbi.nlm.nih.gov/30095343/