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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.
Dr. Gilles Pinault
General Surgery 30 years experience
It depends.: It depends on the functional status of the patient. I have done carotid surgery on a 96 yo who was highly functional. Overall the incidence of stroke is slightly higher but still very low. What also has to be considered is whether the patient is symptomatic or not.
Dr. Timothy Wu
Dr. Timothy Wu commented
Vascular Surgery 18 years experience
Other than for carotid stenting there is no evidence to suggest carotid endarterectomy in older patients has a higher risk of stroke.
May 19, 2013

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Similar questions

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.
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.

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Last updated Aug 1, 2013

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