A member asked:

Is. carotid artery surgery. safe. i have. 70 percent. blockage. had. known. of. 3 people. who had. a stroke?

14 doctors weighed in across 4 answers

Catch 22: You need the surgery to prevent stroke, but surgery has its own risks. If it is done with nerve block surgeon monitors your brain function directly communicating with you. If you under general anesthesia there are different technics, surgeon dependent, how the monitor your brain function. Talk to you surgeon.

Answered 2/6/2013

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Dr. Milton Alvis, jr answered

Specializes in 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 6/10/2014

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Dr. Umesh Patel answered

Specializes in Preventive Medicine

Depends on surgeon: The presence of a blockage does not mean surgery is automatically the correct treatment. Presence of symptoms would lead to reccomendation for a procedure such as surgery or a stent. In the absence of symptoms, intensive medical treatment and careful follow-up may be a better option. If surgery or a stent is needed, choose a surgeon who is is very experienced and uses a nationally ranked hospital.

Answered 9/30/2020

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Medical: If you are an 80 year old female with a 70% stenosis that has not caused you any trouble, the best option is to keep an eye on it and be treated medically. That's what I'd tell my mom!

Answered 9/29/2016

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