Endovascular-Vascular Course for Residents-Carotid Endarterectomy

Video Transcription

Video Summary

In this video, Dr. Bob Harville discusses carotid surgery, specifically carotid endarterectomy. He highlights that carotid endarterectomy is a common operation with good data supporting its efficacy. He believes that neurosurgeons should be more involved in treating carotid artery disease and suggests forming alliances with stroke neurology specialists. Dr. Harville describes his specific surgical technique for carotid endarterectomy, which involves performing the procedure with the patient awake, using a regional block and transverse incision. He emphasizes the importance of adequately preparing the patient for an awake operation and avoiding sedation. The video provides a step-by-step demonstration of the surgical procedure, including marking out the surgical field and dissection of the carotid sheath. Dr. Harville discusses the placement of clips and retractors to expose the carotid artery and remove the plaque. He also discusses the importance of meticulous closure and achieving hemostasis. Throughout the video, Dr. Harville addresses questions from residents, covering topics such as managing acrobatics on the operating table with an awake patient and determining when to use a shunt during the procedure. The video concludes with Dr. Harville discussing outcomes and complications associated with carotid endarterectomy. The video provides valuable insights and practical tips for neurosurgeons interested in performing carotid surgery. No credits were mentioned in the video.

Asset Subtitle

Presented by Robert E. Harbaugh, MD, FAANS

Keywords

carotid surgery

carotid endarterectomy

neurosurgeons

stroke neurology specialists

surgical technique

awake operation

hemostasis