You may have either local or general anesthesia. After your vascular surgeon makes an incision in your artery, he or she will remove the inner lining of the artery around the blockage. A clamp may be placed on your artery to temporarily stop blood flow, or the surgeon may insert a shunt (tube) to temporarily reroute the blood around the obstruction.
Once the plaque is removed, your surgeon will remove the clamp and/or shunt and use stitches to close your incisions. In some cases, your surgeon may insert a thin, flexible tube to help drain excess fluid from your incision.