In order for your surgeon to begin, you must be placed under anesthesia. Once the neck area is fully anesthetized, an extremely small incision is made to reveal the carotid artery. A loop is placed on the artery to keep it held down in place. Sutures are placed early in the procedure on the artery to improve the efficiency of the entire treatment. It is ideal for the sutures to be closed as soon as the procedure is over.
Once the carotid artery has been revealed, a small sheath is placed through the incision site that is connected to the device (neuroprotection system) that helps reverse blood flow. Once blood flow reversal is turned on, the neuroprotection system gives the operator control over the blood flow rate while the procedure is ongoing. After the reversal of blood flow is complete, the sheath will deliver the stent needed to break up, stabilize the plaque, and open the artery to further reduce the risk of stroke. During this time, a balloon catheter may be used to expand the stent. Plaque that may come loose is captured by a device to keep it from entering other parts of the arteries.
After the stent is placed successfully, the neuroprotection system is turned off and blood flow returns to normal and the sutures from before are used to close the vessel. From there, the incision site is also closed and the patient can now enter the recovery zone.