Carotid Artery Aneurysm Surgery


Carotid artery aneurysm surgery repairs a bulging weak spot in one of your carotid arteries, the large arteries in your neck that carry blood to your brain, before it can leak or burst.

A carotid artery aneurysm can increase your risk for a stroke or a mini-stroke called a transient ischemic attack (TIA), so it’s important to get help. A carotid artery aneurysm can also put pressure on veins and nerves nearby, which can cause facial swelling, hoarseness or trouble swallowing.

Treatment Options

Endovascular repair: Your surgeon threads a catheter through a vein near your groin to reach the aneurysm and places an endovascular stent graft – a small tube with metal mesh to support it – in your carotid artery wall to reinforce it. 

Surgical repair: Your surgeon makes an incision in your neck, then connects a section of blood vessel removed from another part of your body to your carotid artery above and below the aneurysm. This creates a new pathway for oxygen-rich blood to flow through.

What to Expect

Before your surgery, your doctor will talk with you about any questions or concerns you have and give you instructions on how to prepare. 

During either type of surgery, you’ll have anesthesia so you won’t feel any pain. In addition to your surgeon and anesthesiologist, your support team will include operating room nurses, assistants and X-ray technologists, all specially trained and experienced in carotid artery aneurysm surgery.

In most cases, either procedure takes 2 to 3 hours. Your medical team will closely monitor you, anticipate your needs and prevent complications.


You’ll spend at least one night in our intensive care unit and a day or two recovering in the hospital. When you’re ready to go home, you’ll need a friend or family member to drive you. Your doctor will discuss your recovery plan and tell you when you can go back to work and resume normal activities.

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