Carotid Endarterectomy (CEA)

The doctors perform a carotid endarterectomy (CEA) to prevent a stroke. The procedure includes removing plaque buildup in the carotid arteries. During surgery they open the artery and remove the plaque, often in one piece. They then may sew (graft) a vein from the leg on the carotid artery to widen or repair the vessel.

Several large studies have shown that a carotid endarterectomy reduces the risk for transient ischemic attack (TIA) (which is an acute episode of temporary focal loss of cerebral function of vascular origin) and stroke in people with moderate to severe blockage of the carotid arteries. This is true for people who have had a TIA and those who have not had a TIA (asymptomatic) but who do have evidence of plaque buildup in the carotid arteries and are also at low risk for complications from the surgery.

Carotid endarterectomy is three times more effective than treatment with medicine alone in preventing stroke for people with symptoms who have 70% to 99% blockage of the carotid arteries.

Procedures
  A. General Surgery
    1. Laparoscopic Surgery
      a. Exploratory
      b. Appendix
      c. Hernia
      d. Gallbladder
      e. Colon
      f. Hiatal Hernia
    2. Conventional Surgeries
      a. Hernia Repair
      b. Colon
      c. Stomach
      d. Appendix
      e. Thyroid
      f. Soft Tissue Masses and Skin Lesions

  B. Vascular Surgery
    1. Repair of abdominal aortic aneurysm (AAA)
    2. Bypass surgery of extremities
    3. Carotid endarterectomy (CEA)
    4. Creation of arterio-venous fistulas
    5. Placement of central lines

  C. Varicose Vein Treatment
    1. TIPPS (Trans-Illuminated Powered Phlebectomy)
    2. SEPS (Subfascial Endoscopic Perforator Surgery)
    3. Deep venous thrombosis

  D. Breast Disease Management
    1. Evaluation of breast lumps (solid or cystic)
    2. Cyst aspirations
    3. Fine-needle aspiration of solid breast lump
    4. Stereotactic breast biopsy
    5. Sentinel lymph node biopsy
    6. Conventional biopsy
    7. Lumpectomy
    8. Mastectomy

E. Gastric Bypass (Bariatric Surgery)

F. Wound Management and Treatment

  G. Thoracic surgery
    1. Chest tube placement
    2. Removal and biopsy of nodules in lung and mediastinum
    3. Lobectomy

H. Vascular Laboratory