OPERATION: Carotid Endarterectomy (Open)
ANAESTHETIC: General / local anaesthesia
ANTIBIOTICS: As per local policy
POSITION: Supine, head-up, neck extended and rotated to the contralateral side. Ring support under head. Draping from angle of jaw to chin.
INDICATION:
TIA or recent stroke with 70% or greater stenosis of the internal carotid artery on the symptomatic side. Surgery performed as soon as possible after index symptoms, ideally within 48 hours and certainly within 2 weeks. Preoperative imaging: duplex USS and MRA confirming [degree] stenosis.
PROCEDURE:
WHO Checklist performed. Landmarks marked. Neck prepared and draped.