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Should patients with blocked arteries be given a blood thinner after carotid surgery

A 34-year-old member asked:
Dr. Sabatino Bianco
25 years experience Neurosurgery
Yes: If there is stanosis after surgery and it is not at a critical point, it is very important to take blood thinners.
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Dr. Steven Busuttil
32 years experience Vascular Surgery
Depends: Most patients do not need a anticoagulant but most should be placed on an antiplatetet agent like Aspirin or plavix (clopidogrel).
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A 34-year-old member asked:
Dr. Sidney Vinson
26 years experience Gastroenterology
It depends: Generally Aspirin is still safe in those with a history ulcers so long as acid medications such as omeprazole, nexium, (esomeprazole) protonix, preva ... Read More
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Dr. Seth Zeidman
32 years experience Neurosurgery
Multiple Choices: Plavix (clopidogrel) is usually the best choice for people who cannot tolerate aspirin.
A 37-year-old member asked:
Dr. Oliver Aalami
22 years experience Vascular Surgery
Good Question: Blocked carotid arteries are treated in order to prevent a major stroke. Patients with alzheimer's disease are forgetful, they have not had a stroke. ... Read More
Dr. Maureen Nash
23 years experience Geriatric Psychiatry
It's personal: Every person should consider the risks and benefits of any procedure or surgery. When one is 87, one way to look at it is, what cause of death does on ... Read More
Dr. Michael Korona
32 years experience Interventional Radiology
Hard question: Very difficult question. Get your family together with your doctor and decide. Many physicians believe that it is ok not to treat this type of patient ... Read More
A 52-year-old member asked:
Dr. Maureen Nash
23 years experience Geriatric Psychiatry
No 1 answer fits all: Every surgery has risks and benefits. Each specific person and their particular health history also bring benefits and risks to the discussion. Answer ... Read More
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A 29-year-old member asked:
Dr. Benjamin Lessig
24 years experience Geriatrics
Let me ask you: There are two questions you need to be addressed. #1 what is the rationale for ordering test or having procedure(s)? #2 what is the quality of life? S ... Read More
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4 thanks
A 29-year-old member asked:
Dr. Terry Simpson
34 years experience General Surgery
Carotid for stroke: Mostly because the artery has plaque and that can become loose and cause a stroke.
A 42-year-old member asked:
Dr. Bradley Thomas
18 years experience Vascular Surgery
Yes. Call Now!: Patients who have had carotid artery surgery definitely have a risk of stroke. The highest risk of stroke is during and immediately after the procedur ... Read More
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2 thanks
A 34-year-old member asked:
Dr. Ramin AmirNovin
20 years experience Neurosurgery
EEG or Shunt: There are two ways to know. Some people use a EEG to monitor the brain activity to assure enough blood is flowing to the brain. Others use a small tu ... Read More
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A 37-year-old female asked:
Dr. Hratch Karamanoukian
30 years experience Phlebology
CABG risk: It is not clear from your description what type of surgery he is getting. I surmise that you mean coronary bypass surgery. Overall risks for patients ... Read More
A 38-year-old member asked:
Dr. Alan Ali
Dr. Alan Ali answered
31 years experience Psychiatry
Blocked arteries: Depends on extent of blockage. Consult a cardiologist for blood thinners vs. Other options.

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