1) Surgical treatment of carotid artery disease aims to prevent stroke by operating on patients with carotid stenosis.
2) Carotid endarterectomy has been shown to reduce stroke risk in patients with symptomatic stenosis >50% or asymptomatic stenosis >60%.
3) Preoperative evaluation assesses patient health and imaging identifies carotid lesions. Proper positioning and anesthesia are also important.
4) The operative technique involves incising along the carotid sheath and carefully exposing and mobilizing the carotid artery and bifurcation while protecting surrounding nerves.