A 78-year-old female asked:
i have 70 percent blockage and doctor. wants to cean. out my carotid. artery. and i am. frightened of stroke i have heard of three people.who had
3 doctor answers
Dr. Milton Alvis, jr answered
41 years experience Preventive Medicine
No Surgery All Safe: Not even med tx all safe. Stenosis: a late symptom of atherosclerosis in artery walls; starts in childhood, asymptomatic for decades as artery walls thicken & enlarge. Narrowing: due to plaque rupture & clots. Primary drivers: lipoproteins (not cholesterol), blood sugar, BP + others. Best/safest optimize NMR particle text, hba1c, bp, etc 1st to ↓↓ ds. Surgery promoted to ↓ narrowing; risk: stroke.
Answered on Oct 4, 2016
Dr. Shoaib Shafique answered
34 years experience Vascular Surgery
Need Surgery: Acas trial in United States showed benefit of surgery for over 60% stenosis with risk reduction over 5 years. You want to make sure that you see experienced vascular surgeon.If you are a good anesthetic risk you should do fine and be able to go home day after surgery.
Answered on Feb 1, 2015
Dr. Michael Schwartz answered
33 years experience Vascular Surgery
2nd opinion: A 70% blockage in an 80 year old female without stroke or ministroke should be observed. It is a marker for generalized atherosclerosis and you should be seeing your primary doctor (or cardiologist) for further advice. If your carotid artery gave you some trouble (stroke / mini-stroke) I'd consider repair by carotid endarterectomy. That surgery in good hands is quite safe. Get a 2nd opinion.
Answered on May 18, 2019
90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:
People also searched for:
Connect by text or video with a U.S. board-certified doctor now — wait time is less than 1 minute!
$15 per month