Endarterectomy

Endarterectomy
Endarterectomy
Intervention
ICD-9-CM 38.1
MeSH D004691

Endarterectomy is a surgical procedure to remove the atheromatous plaque material, or blockage, in the lining of an artery constricted by the buildup of soft/hardening 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 at the University of Lisbon. In 1951, E. J. Wylie, an 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.

Endarterectomy is also used as a supplement to a vein bypass graft to open up distal segments.

Pulmonary hypertension caused by chronic thromboembolic disease (CTEPH) 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

  1. ^ Thompson, Jesse E., The Evolution of Surgery for the Treatment and Prevention of Stroke (retrieved on 2007-04-24)

External links


Medical imaging Other diagnostic

Wikimedia Foundation. 2010.

См. также в других словарях:

  • endarterectomy — [end är΄tər ek′tə mē] n. pl. endarterectomies the removal of plaque deposits and the inner lining of a blood vessel by surgery or pressurized carbon dioxide to improve blood circulation …   English World dictionary

  • Endarterectomy — An operation to clean out an artery and restore normal blood flow through the artery. An endarterectomy is basically a Rotorooter procedure. It removes diseased material from the inside of an artery, and also removes any occluding atheromatous… …   Medical dictionary

  • endarterectomy — n. a surgical ‘re bore’ of an artery that has become obstructed by atheroma with or without a blood clot (thrombus); the former operation is known as thromboendarterectomy. The inner part of the wall is removed together with any clot that is… …   The new mediacal dictionary

  • endarterectomy — noun (plural mies) Etymology: New Latin endarterium intima of an artery (from end + arteria artery) + English ectomy Date: 1974 surgical removal of the inner layer of an artery when thickened and atheromatous or occluded (as by intimal plaques) …   New Collegiate Dictionary

  • endarterectomy — /en dahr teuh rek teuh mee/, n., pl. endarterectomies. the surgical stripping of a fat encrusted, thickened arterial lining so as to open or widen the artery for improved blood circulation. [1955 60; ENDARTER(IUM) + ECTOMY] * * * …   Universalium

  • endarterectomy — noun The surgical procedure to remove plaque from an artery …   Wiktionary

  • endarterectomy — [ˌɛndα:tə rɛktəmi] noun (plural endarterectomies) surgical removal of part of the inner lining of an artery, together with any obstructive deposits. Origin 1950s: from endo + artery + ectomy …   English new terms dictionary

  • endarterectomy — end·ar·ter·ec·to·my …   English syllables

  • endarterectomy — end•ar•ter•ec•to•my [[t]ɛnˌdɑr təˈrɛk tə mi[/t]] n. pl. mies srg the surgical stripping of a fat encrusted, thickened arterial lining so as to open or widen the artery for improved blood circulation • Etymology: 1955–60; endarter(ium) an artery… …   From formal English to slang

  • endarterectomy — noun surgical removal of the inner lining of an artery that is clogged with atherosclerosis • Hypernyms: ↑ablation, ↑extirpation, ↑cutting out, ↑excision …   Useful english dictionary


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