ENDARTERIECTOMY

ANESTHESIA 

The procedure is done local anesthesia most of the time, and sometimes under general 

WHAT ARE THE MODALITIES REGARDING AN ENDARTERIECTOMY ? 

The procedure of endarterectomy consists in removal the atheroma plaque clogging the artery. 

The artery closing is done : 

directly

on a prothesis patch Dacron, Polyuretahne or PTFE (Poly-Tétra-Fluoro-Ethylène) 

or on a venous patch

RESULTS

- usualy the result is good with a permeability of the endarteriectomy

WHAT INCIDENTS MIGHT OCCUR ? 

Despite all the care we give our patients, incidents or accidents can occur and be identified and treated immediately. These might be: 

- Hematomas arise from the use of blood thinners and the frequent rises in blood pressure. This usually results in painful swellings. Can require a surgical intervention if serious. 

- Hemorrhaging after injury to the artery or the vein. Blood transfusion is still extremely rare for that kind of procedure. 

- Nervous lesions: In most cases these lesions are responsible for temporary disorders. Touching the sensitive femoral nerves happens frequently and results in areas on insensitivity or electric shock-like pain in the anterior and internal side of the thigh. The pain usually doesn’t last long but the insensitivity can last several months. 

-  Anesthesia accidents. Those are extremely rare. More specific information will be provided to you during the preoperative consult. 

- Lymphatic complications are noticed near the groin. It can either be a lymph effusion (lymphorrhoea) or a simple swelling called lyphocele. This will not go away spontaneously and it may be necessary to operate to tie the responsible lymphatic vessels. 

- Thrombosis and pulmonary embolism are extremely rare and are constantly prevented during the surgery (blood thinners, ...) 

- Infections are more frequent if the endarteriectomy is done to treat a wound or an early gangrene.