Description

This image illustrates the initial stage of carotid endarterectomy, where the surgeon performs the arteriotomy, making a precise incision into the artery to expose the affected area. Surgical instruments are carefully positioned to create a clean, controlled cut, providing access to the inner arterial layers. The surrounding tissue is gently retracted, and vascular loops are applied to control blood flow, ensuring a clear operative field. The detailed depiction highlights the meticulous technique required to minimize trauma to the vessel walls, setting the foundation for successful plaque removal. This image is an excellent resource for understanding the critical first steps in vascular surgery, emphasizing the importance of precision and control during the arteriotomy.