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#CarotidEndarterectomy #StrokePrevention #CarotidArteryDisease #AtheroscleroticPlaque #VascularSurgery #SurgicalTechniques #OpenEndarterectomy #EversionEndarterectomy #Restenosis #NeurologicalRisk #DrGregoryWeir #vascularhealth This Deep Dive video by Dr Gregory Weir focuses on carotid endarterectomy, a critical surgical procedure to prevent strokes. The video explains that this surgery addresses the narrowing of the carotid arteries caused by atherosclerotic plaque, a buildup of fatty material. Two main surgical techniques are discussed: the conventional open endarterectomy, involving a neck incision and temporary clamping of the artery to remove the plaque, often followed by a patch closure, and the more specialised eversion endarterectomy, used for plaque at the artery branch, where the internal carotid is temporarily turned inside out for plaque removal. The video highlights the meticulous nature of both techniques and the importance of preventing complications such as stroke and nerve injury. It also touches upon the risk of restenosis, the artery narrowing again, and the long-term management strategies. While the main focus is surgical, the video briefly mentions carotid angioplasty and stenting (CAS) as an alternative, less invasive approach. The importance of patient selection, pre-operative evaluation, and managing other health conditions is also emphasised. This procedure is presented as a vital intervention in managing severe carotid artery disease and significantly reducing the risk of devastating strokes.