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A 40-year-old member asked:

Can you be too old to have carotid artery surgery?

6 doctor answers24 doctors weighed in
Dr. Oliver Aalami
Vascular Surgery 23 years experience
Not necessarily: Age is relative. If a high functioning person has a TIA (mini-stroke) or a full blown stroke with carotid artery narrowing > 50%, then offering carotid surgery is an option. Poor cardiac function ( a bad heart ) is a contraindication for general anesthesia, however there are other options such as carotid stenting or an awake carotid endarterectomy using a nerve block.
Dr. Khashayar Salartash
Vascular Surgery 29 years experience
No: The actual age is not as important as the functional wellness of the vital organ systems. The oldest person I have operated upon in terms of carotid endarterectomy was 95 years old. He was very healthy despite his advanced years.
Dr. Kevin Nolan
Vascular Surgery 35 years experience
Age and carotid surg: Age alone definitely should not be the factor that determines if your carotid disease is repairable. A comprehensive evaluation of a person's condition is needed to make that decision.
Dr. Igor Yusupov
Specializes in Neurosurgery
No: If it is not safe to be under genera anesthesia, it can be done under local.
Dr. Jeffrey Hnath
Vascular Surgery 20 years experience
Yes: Most carotid trials did not include 90 year olds.
Dr. Kevin Nolan
Vascular Surgery 35 years experience
Age for Carotid surg: Overall medical condition as evaluated by your doctors, not age, determines if you should have carotid surgery. A regional block anesthetic, meaning the neck is made numb, will allow the surgery to occur without having to put the person to sleep. This can dramatically reduce the strain on the person having the procedure; as a result we fix carotid arteries on people up into their 90s.

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Similar questions

A 37-year-old member asked:

At what usual age are you too old for carotid artery surgery?

2 doctor answers3 doctors weighed in
Dr. Timothy Wu
Vascular Surgery 18 years experience
Controversial.: Age by itself is not a contraindication for carotid artery surgery. More important are that person's risks, such as heart disease and such. A more interesting question is whether or not one would benefit from carotid artery surgery, and this is a very controversial topic within my field. There is little to suggest there is an absolute age cutoff, however. Discuss with a vascular surgeon.
A 48-year-old member asked:

At what age are you considered too old for carotid artery surgery?

3 doctor answers8 doctors weighed in
Dr. Mark Milunski
Cardiology 37 years experience
Age/carotid surgery: I don't think there is an age limit. Many factors besides age come into play when considering any surgery. Carotid artery stenting has certainly allowed older patients to have carotid blockages corrected but at a somewhat higher risk for stroke.
A 32-year-old member asked:

What are complications that can happen during carotid artery surgery?

1 doctor answer3 doctors weighed in
Dr. Peter H'doubler
Vascular Surgery 40 years experience
See below: Carotid endarterectomy is a very safe procedure when performed by an experienced vascular surgeon. That said, complications that can occur duing the procedure include neurological injury, cranial nerve injury, bleeding and complications of anesthesia. These are all quite rare but can occur. Never be afraid to ask the surgeon what his/her complication rate is!
CA
A 28-year-old male asked:

What is the definition or description of: carotid artery surgery?

2 doctor answers5 doctors weighed in
Dr. Robert Binford
Thoracic Surgery 38 years experience
Surgery of carotid: There are different kinds of carotid artery surgery. The most common, however, is called a carotid endarterectomy. This is done for carotid artery stenosis (blockage). The artery is opened and the blockage is carefully removed and the inside of the artery is cleaned up. The vessel is then often closed with a patch to make it a little larger.
A 41-year-old member asked:

What is recovery time after carotid artery surgery?

2 doctor answers4 doctors weighed in
Dr. Mark Milunski
Cardiology 37 years experience
Carotid surgery: It is generally a one or two day hospitalization and several weeks at home after that depending on your recovery process and your surgeons instructions.

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Last updated Jan 17, 2017
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