The carotid arteries are located on either side of your neck. They are essential arteries for providing blood flow to the large, frontal part of the brain. However, arteries can collect plaque due to an excess build-up of fatty acids within the artery wall, causing the arteries to narrow. If such a condition occurs, it is referred to as atherosclerosis and can block the blood flow, preventing oxygen from reaching the brain and potentially leading to a stroke. If the plaque begins restricting the blood flow, a carotid endarterectomy is recommended to clear the blockage. Arizona Premier Surgery specializes in carotid endarterectomies, which involves small incisions being made in the carotid arteries, allowing the surgeon to carefully remove the plaque and permit the blood to flow smoothly from the carotid arteries to the brain.
"Dr. Albert Amini is a total rockstar. He's the most impressive surgeon I've ever interacted with, hands down. Not only does he have a tremendous surgical record, he listens attentively and has the rare gift of being able to condense complex information into explanations that even we laypeople can digest.He was carefully deliberate and considerate even for my simple, routine surgery (appendectomy), so I cannot recommend him highly enough, if you or a loved one is ever in a complicated scenario requiring a thoughtful doctor who will be attentive and willing to take time to really *hear* you and establish a plan of action WITH you. The peace of mind he will give you will be well worth the trip to Arizona!"- T.B. / Yelp / Jan 05, 2018
"Dr. Amini is GREAT. I was in California last year on vacation and my Gallbladder blew. I had to get off Catalina Island and was sent to UCI Irvine where they did surgery New Years Eve. The surgeon told me after that she could not do it laparoscopically because of adhesions and so it was an open surgery. Even then she said she could only take part of the gallbladder as it was too infected to do much else. I had to have an ERCP the next day due to a bile leak they had to put a stent in. I kept having troubles after I was released and sent back home. My husband found Dr Amini because of his specialty. I was told in California they took most of the gallbladder but every CT scan that was done here showed a full gallbladder. I don't think they did anything but drain it. Dr. Amini took my case was very patient with me and when he did the surgery, he did it laparoscopically with 3 small incisions. He took down all the adhesions from my previous messed up surgery with Mayo and now UCI. Then he removed the gallbladder totally. He said i was 90% in tact. I am so happy surgery was a complete success and I am 2 weeks post op and I feel great have been walking 5 miles a day and ready to start playing tennis. You would be lucky to have a surgeon like Dr. Amini. He knows his stuff!!"- S.M. / Yelp / Dec 14, 2017
"This review is for Dr. Bianca Vazquez. I would give a million stars if that were an option! She is the endocrinology specialist and I just had my follow-up with her after she removed my thryroid 16 days ago. First of all, she is an incredibly talented and skilled surgeon. My steri-strips were removed today and my scarring is so minimal it's almost shocking that the procedure was done 16 days ago! My favorite thing about her is her bedside manner. She was so good about taking plenty of time to explain EVERYTHING including different options for treatment, post care, follow up and even diet advice! She's the epitome of the "new school" of doctors which emphasizes the importance of patients' input and participation in their own care. It's like you make the decisions together. The Scottsdale office is beautiful and Dr. Vazquez and the staff provide a warm and welcoming environment. I just love how personable she is and I feel like I not only found an incredibly knowledgeable and skilled surgeon but that I have made a new friend. Look no further if you need endocrinology surgery! She's the BEST!!!"- Z.K. / Yelp / Dec 07, 2017
"I was referred to Dr Vazquez by my Endocrinologist because of the fast growing nodules on my thyroid. Knowing she worked at Mayo Clinic, I had a really good feeling going in. We first met her at the consultation & were immediately impressed with the thorough information she gave us. She made sure we did not have any further questions regarding surgery before letting us go. It was really nice to have an option as to where the surgery would take place. She came to see me in pre-op right before surgery to let my family know how long to expect the surgery to be & ensure we had no further questions. My scar from surgery is barely visible. So much so, that when I went for post-surgery, her nurse had to do a double take. Not only a terrific surgeon, this lady has drive & thrives to be above & beyond any expectations of her patients. We definitely need more doctors like Dr Vazquez!!! Terrific lady!!!"- N.W. / Google / Dec 04, 2017
"I met Dr. Amini when I was told I had to have my appendix removed that same night in the ER when I went in for abdominal pain. His bed side manner, patience and explaining the whole surgery and answering all questions my mom and I had was beyond excellent. My surgery went very well with no complications. He is extremely thorough. After seeing him in his office after surgery my opinion of him still stands. He's an amazing surgeon, very kind, assuring, compassionate and his patient care is outstanding. I would highly recommend him to anyone in need! Thank you Dr. Amini for taking such great care of me!"- A.M. / Google / Nov 20, 2017
Common Reasons for Surgery
Atherosclerosis simply refers to a condition where the arteries are hardened. The most common cause of atherosclerosis is associated with the accumulation of fat or other harmful materials along the wall of the carotid arteries, usually associated with high blood pressure, high cholesterol, or excessive tobacco use.
Clots within the carotid arteries can occur from ruptured plaques that leak proteins and cholesterol into the arteries and bloodstream, causing blockage within the wall of the artery and ultimately leading to a clot.
Inflammation in the carotid arteries can occur as a result of certain diseases such as lupus or arthritis. It can also be caused by infections, leading to inflamed carotid arteries that are unable to allow blood to travel properly to the brain.
About Carotid Endarterectomy
A carotid endarterectomy is a surgical procedure that relieves the blockage within the carotid artery. Performed by a skilled surgeon, the procedure involves administering a local or general anesthetic prior to the operation, followed by precise incisions along the carotid arteries, where the surgeon will then enter the arteries and remove the plaque, making it free from obstruction. The carotid arteries are then sutured or patched with a graft and the blood flow is restored.
What to Expect
A patient who obtains a standard carotid endarterectomy can expect to receive a general or local anesthetic during the 2-hour procedure. After the procedure, soreness of the neck and throat is normal and a soft diet may be recommended for a few days following the surgery. Patients can be expected to be released from the hospital within 1 – 2 days. Most patient need 2 weeks for their recovery before resuming normal activities. Adding exercise can be discussed at the patient's follow-up appointment, 4 – 6 weeks after their surgery.
Plan Your Procedure
- Recovery Time
- 2 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- 4 - 6 Weeks
- Procedure Recovery Location
Effective Stroke Prevention
If you are experiencing any symptoms related to atherosclerosis, such as limpness or numbness in your limbs, loss of vision, or drooping of the facial muscles, we invite you to schedule an appointment with our reputable vascular surgeons at Arizona Premier Surgery, who are equipped to detect the signs of carotid blockage and effectively reduce or prevent your risk of a stroke.