Carotid endarterectomy can reduce your risk of stroke
Blood travels to your brain through two carotid arteries on each side of your neck. Over time, plaque buildup can narrow the arteries and reduce or block blood flow to your brain. This condition, called carotid artery disease or carotid artery stenosis, increases your risk of experiencing a stroke.
A type of vascular surgery called carotid endarterectomy can be used to treat carotid artery disease and significantly reduce your risk of a stroke. It can also help prevent future strokes if you’ve ever had a stroke or a transient ischemic attack (TIA), also known as a mini-stroke.
Treating carotid artery disease with carotid endarterectomy
A type of peripheral artery disease, carotid artery disease, occurs when atherosclerosis—the buildup of plaque in the arteries—narrows or blocks the carotids, leading to a stroke by disrupting blood flow to the brain. In other cases, if a blood clot forms from plaque in a carotid artery, it may break away and block an artery in the brain, which can cause a stroke.
During a carotid endarterectomy procedure, your surgeon removes the plaque in the arteries to restore blood flow to the brain and help reduce your risk of future strokes.
Who is a candidate for carotid endarterectomy?
If your provider thinks you may have carotid artery disease, they will check your carotid arteries to determine the extent of the blockage(s). Carotid endarterectomy may be right for you if you have a blockage of at least 50% and have had a stroke or transient ischemic attack (TIA) or if you have a blockage of 70% or more, regardless of symptoms or complications.
Other procedures for carotid artery disease
There is another procedure that may be an option for you other than carotid endarterectomy surgery:
- Transcarotid artery revascularization (TCAR), where your surgeon uses special equipment to reverse blood flow and inserts a stent to keep your narrowed artery open
Benefits of carotid endarterectomy
Treatments for carotid artery disease improve blood flow to your brain and reduce your risk of having a stroke.
You can improve the results of your carotid endarterectomy and further reduce your risk of stroke by making the following healthy lifestyle changes after your procedure:
- Eat a heart-healthy diet
- Exercise regularly
- Quit smoking
What to expect from carotid endarterectomy surgery
Before surgery
Your surgeon will perform a physical exam and may order tests to ensure you’re healthy enough to have surgery. To help you stay safe during and after carotid endarterectomy, you’ll need to take some important steps in the days and weeks leading up to the surgery. Your surgical team may recommend that you:
- Quit smoking
- Stop eating and drinking just before the surgery, according to your surgeon’s instructions
- Stop taking certain medications, such as blood thinners, as directed by your surgeon
Ask your surgeon which medicines you can take on the day of surgery. Be sure you know when to arrive at the hospital—a prompt arrival helps the process run smoothly—and where to go when you arrive. It’s a good idea to ask a friend or family member to accompany you so they can drive you to the hospital and take you home. You may be able to go home the same day after your procedure, but be sure to pack essential items for a hospital stay in case you need to spend the night.
Find a location near you
If you need a carotid endarterectomy, you can trust the expertise of our teams at specialized locations across Central and North Texas. After your surgery, you can receive comprehensive follow-up care at one of our many convenient locations.

1400 8th Ave , Fort Worth, TX, 76104
1400 8th Ave , Fort Worth, TX, 76104
Accepting walk-ins

2401 S 31st St , Temple, TX, 76508
2401 S 31st St , Temple, TX, 76508
Not accepting walk-ins

12505 Lebanon Rd , Frisco, TX, 75035
12505 Lebanon Rd , Frisco, TX, 75035
Accepting walk-ins

5601 Warren Pkwy , Frisco, TX, 75034
5601 Warren Pkwy , Frisco, TX, 75034
Accepting walk-ins

7600 Better Way , Frisco, TX, 75033
7600 Better Way , Frisco, TX, 75033
Accepting walk-ins

1650 W College St , Grapevine, TX, 76051
1650 W College St , Grapevine, TX, 76051
Accepting walk-ins

100 Hillcrest Medical Blvd , Waco, TX, 76712
100 Hillcrest Medical Blvd , Waco, TX, 76712
Accepting walk-ins

1901 N MacArthur Blvd , Irving, TX, 75061
1901 N MacArthur Blvd , Irving, TX, 75061
Accepting walk-ins

6800 Scenic Dr , Rowlett, TX, 75088
6800 Scenic Dr , Rowlett, TX, 75088
Accepting walk-ins

100 Medical Pkwy , Lakeway, TX, 78738
100 Medical Pkwy , Lakeway, TX, 78738
Accepting walk-ins

810 W State Hwy 71 , Marble Falls, TX, 78654
810 W State Hwy 71 , Marble Falls, TX, 78654
Accepting walk-ins

5252 W University Dr Highway 380 at Lake Forest Drive, McKinney, TX, 75071
5252 W University Dr Highway 380 at Lake Forest Drive, McKinney, TX, 75071
Accepting walk-ins

4700 Alliance Blvd , Plano, TX, 75093
4700 Alliance Blvd , Plano, TX, 75093
Accepting walk-ins

300 University Blvd , Round Rock, TX, 78665
300 University Blvd , Round Rock, TX, 78665
Accepting walk-ins

231 S Collins Rd , Sunnyvale, TX, 75182
231 S Collins Rd , Sunnyvale, TX, 75182
Accepting walk-ins

2401 S 31st St , Temple, TX, 76508
2401 S 31st St , Temple, TX, 76508
Accepting walk-ins

2400 N Interstate 35E , Waxahachie, TX, 75165
2400 N Interstate 35E , Waxahachie, TX, 75165
Accepting walk-ins

2405 S Clear Creek Rd , Killeen, TX, 76549
2405 S Clear Creek Rd , Killeen, TX, 76549
Not accepting walk-ins

200 Medical Pkwy , Lakeway, TX, 78738
200 Medical Pkwy , Lakeway, TX, 78738
Not accepting walk-ins

621 N Hall St , Dallas, TX, 75226
621 N Hall St , Dallas, TX, 75226
Accepting walk-ins

2801 S Mayhill Rd , Denton, TX, 76208
2801 S Mayhill Rd , Denton, TX, 76208
Accepting walk-ins

1400 8th Ave Bldg A, 6th Floor, Fort Worth, TX, 76104
1400 8th Ave Bldg A, 6th Floor, Fort Worth, TX, 76104
Accepting walk-ins

5268 W University Dr , McKinney, TX, 75071
5268 W University Dr , McKinney, TX, 75071
Accepting walk-ins

1100 Allied Dr , Plano, TX, 75093
1100 Allied Dr , Plano, TX, 75093
Accepting walk-ins
2217 Park Bend Dr Ste 230, Austin, TX, 78758
2217 Park Bend Dr Ste 230, Austin, TX, 78758
Not accepting walk-ins
1250 8th Ave Ste 200, Fort Worth, TX, 76104
1250 8th Ave Ste 200, Fort Worth, TX, 76104
Not accepting walk-ins

2020 W State Hwy 114 Ste 200, Grapevine, TX, 76051
2020 W State Hwy 114 Ste 200, Grapevine, TX, 76051
Not accepting walk-ins

1776 N US 287 Ste 220, Mansfield, TX, 76063
1776 N US 287 Ste 220, Mansfield, TX, 76063
Not accepting walk-ins

3500 Gaston Ave , Dallas, TX, 75246
3500 Gaston Ave , Dallas, TX, 75246
Accepting walk-ins