How is endonectomy performed?

A cut in the neck already sounds very scary, and then to cut the large blood vessels in the neck is not good enough, but also to remove the plaque and then sew up, this surgery can be done? This is what many people think when they hear about carotid endarterectomy from their doctor. But this is really how carotid endarterectomy is done: the carotid stenosis is located under ultrasound and cerebral angiography, the neck is incised, the carotid bifurcation is fully exposed, the internal and external carotid arteries and the common carotid artery are clamped to block the blood flow, the carotid artery is incised according to the length of the stenotic plaque, the plaque and the endothelium are fully peeled off and removed, and then the carotid artery is sutured to restore the blood supply, and the operation is completed.