Surgical removal of the lining of an artery
Endarterectomy is performed on almost any major artery that is diseased or blocked,
such as the carotid or femoral artery.
Endarterectomy of an occluded carotid artery
Carotid endarterectomy reduces the risk of stroke when it is performed on a patient with
moderate or severe stenoses of the artery, with or without a history of transient ischemic
attacks (TIAs). (See Fig. 5–19.)
Chemical injection into a varicose vein that causes inflammation and formation of
fibrous tissue, which closes the vein
When a vein closes, it can no longer fill with blood. In a few weeks the treated varicose
vein fades.
Plastic or restorative surgery on a heart valve to correct a prolapse or stenosis
A special type of valvuloplasty, called balloon valvuloplasty, involves insertion of a
balloon catheter to open a stenotic heart valve. Inflation of the balloon decreases the
constriction.
200 CHAPTER 5• Cardiovascular and Lymphatic Systems
Electrodes inserted
into cephalic vein
leading to the heart
ICD implanted
Electrodes under the skin
in heart
Right
atrium
Right
ventricle
Lead delivering
electrical shock Electrical charge
Figure 5-18Automatic implantable cardioverter-
defibrillator (AICD).
endarterectomy
ĕnd-ăr-tĕr-ĔK-tō-mē
end-: in, within
arter: artery
-ectomy: excision,
removal
carotid
kă-RŎT-ĭd
sclerotherapy
sklĕr-ō-THĔR-ă-pē
scler/o: hardening;
sclera (white
of the eye)
-therapy: treatment
valvuloplasty
VĂL-vū-lō-plăs-tē
valvul/o: valve
-plasty: surgical repair