MaryR.JPG (75741 bytes)General anesthesia and an arterial line are used for carotid endarterectomy. Blood loss is usually small. Patients are often awakened in the operating room to assess their neurologic function and make sure they have not had a stroke. Pain after carotid endarterectomy is usually slight. Patients are often kept in the intermediate care unit or " step down " unit; occasionally in the surgical intensive care unit for observation after this surgery.