A 39-year-old member asked:
Disclaimer

i have a 100% occluded carotid artery. when should i consider surgery?

4 doctor answers
Dr. William Purtill
Specializes in Vascular Surgery
Don't: If the artery is 100% occluded surgery or a stent is not neccessary or possible. The artery when 100% blocked occludes up to the brain and cannot be opened up. The risk of carotid blockage is when it is severely narrowed ie >80%; then a piece of plaque can break off, lodge in the brain and caues a stroke. If the artery is 100% blocked nothing can break off. The other arteries should be checked.
Answered on Jul 27, 2020
5
5 thanks
Dr. Patrick Wyffels
Specializes in Critical Care
Look - opposite side: A carotid artery that is 100% blocked ( chronically ) is not treated. Rather careful monitoring of the opposite carotid is done & when significantly narrowed ( > 60% ) or causing symptoms from material going downstream ( TIA or stroke ), it should be treated. Open surgery is the gold standard and needs to be done by a surgeon with experience and low complications (stroke, heart attack, bleeding).
Answered on Feb 18, 2020
1
1 thank
Dr. Alan Koslow
42 years experience Vascular Surgery
Never, most of time: Total occlusion is rarely treated and if treated it is with temporal artery to middle cerebral artery bypass (done very very rarely). Just follow stenosis of other side.
Answered on Jul 9, 2019
2
2 thanks
Dr. Michael Korona
32 years experience Interventional Radiology
Depends: On the stenosis on the other side. The one completely blocked can't be fixed normally. Keep eye on other side with yearly ultrasounds. Scan earlier of you are having symptoms. Probably need to be on aspirin.
Answered on Feb 18, 2020

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month

Related questions:

A 46-year-old member asked:
Dr. Som Kohanzadeh
16 years experience Plastic Surgery
No: So, surgery can be done, but once it is 100% occluded there usually is no purpose to operating because the damage associated is already done. Now, the ... Read More
A 35-year-old member asked:
Dr. Oliver Aalami
22 years experience Vascular Surgery
Depends: We do not perform surgeries to open up complete (100%) blockages. For the side with 85% blockage he should first and foremost be on an Aspirin as well ... Read More
1
1 comment
3
3 thanks
A 36-year-old member asked:
Dr. Calvin Weisberger
50 years experience Cardiology
Carotid: Carotid artery surgery has stroke as one of its complications. As such it is not without significant risk.
A 41-year-old member asked:
Dr. Michael Korona
32 years experience Interventional Radiology
Sort of: Fix risk factors. No smoking. BP control. Take Aspirin and statin if ordered by your doc. Diabetes control. See stroke.Org.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month