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Doctor insights on: Alzheimers Patient Blocked Carotid Artery

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Should a 87 year old alzheimer's patient have surgery to clear a blocked carotid artery?

Should a 87 year old alzheimer's patient have surgery to clear a blocked carotid artery?

It's personal: Every person should consider the risks and benefits of any procedure or surgery. When one is 87, one way to look at it is, what cause of death does one want to avoid the most. ...Read more

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Dr. Suzanne Galli
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Artery (Definition)

Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more


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Is it worth it for an eighty-seven year old alzheimer's patient to have surgery to clear a blocked carotid artery?

Is it worth it for an eighty-seven year old alzheimer's patient to have surgery to clear a blocked carotid artery?

Ethical issues: From one vantage point, withholding a common procedure because of a disability is bad. However, any intervention with a level of risk must be worth while to the quality of life of the patient. If it just prolongs the process of dying, without an improvement of life, it is unfair to all involved. ...Read more

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Should an eighty-seven year old alzheimer's patient have thoracic surgery to clear a blocked carotid artery?

Should an eighty-seven year old alzheimer's patient have thoracic surgery to clear a blocked carotid artery?

Only if symptomatic: Age or pre-existing conditions, outside of terminal disease, should not be a contraindication for intervention. Medical management is the primary treatment for carotid disease, followed by medical and interventional therapy. In an 87 year old, surgery would be preferred if indicated. ...Read more

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Do you know the data sheet for examination of a patient of carotid artery stenosis?

Do you know the data sheet for examination of a patient of carotid artery stenosis?

Variable: Carotid evaluations can be done with physical exam, ultrasound(doppler) and ct, mra and angiography in properly selected patients. The dat-results are presented in variable formats but leading to degree of narrowing(stenosis) or irregularity(ulceration). ...Read more

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Could you know the data sheet for examination of a patient of carotid artery stenosis?

Could you know the data sheet for examination of a patient of carotid artery stenosis?

Unclear: I'm not clear what you're asking? If carotid stenosis is suspected, the neck is auscultated for bruits. The pt is queried for neurologic deficit and, if appropriate, a neurologic exam is done. Duplex ultrasound exam of the neck is done. If necessary, a ct, mra, or angiogram may be necessary in selected cases. ...Read more

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Should an alzheimer's patient have thoracic surgery to clear a blocked carotid?

Should an  alzheimer's patient have thoracic surgery to clear a blocked carotid?

Weighing of Values: This is a complicated question best answered by open discussion with family and health care providers and thoughtful weighing of quality of life issues including discussion of what you believe your loved one might have wanted. ...Read more

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My father is 80 years old and one of his carotid arteries is 90% blocked - is he a good candidate for surgery or not?

My father is 80 years old and one of his carotid arteries is 90% blocked - is he a good candidate for surgery or not?

Possibly: It depends on his general health especially the condition of his heart and lungs. The surgeon must report no more than a 3 - 5% complication rate. He may be a candidate for a stenting procedure if he has heart problems or multiple strokes. ...Read more

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My carotid artery is 80% blocked and I am going in for carotid stenting next thur. started smoking again. Am I going to be okay??

My carotid artery is 80% blocked and I am going in for carotid stenting next thur. started smoking again. Am I going to be okay??

Avoid smoking: since that is what caused it. Somewhat concerned about you getting a carotid stent at age 42 since it is reserved for high risk patients. You should discuss carotid stent vs carotid endarterectomy with your physician. ...Read more

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I had parotid surgeries 25 & 20 years ago. I recently experienced TIA. Tests show left carotid artery 30% blocked & right carotid artery 70%. ?

I had parotid surgeries 25 & 20 years ago. I recently experienced TIA. Tests show left carotid artery 30% blocked & right carotid artery 70%. ?

Focus on carotids: Likely the carotid blockages are due to longstanding deposits of cholesterol and plaques along the inside of the arteries. Coukd be due to high cholesterol or genetics. This is likely what's causing your TIAs as these arteries are the main source if blood into the brain. The lack of blood to the brain can cause TIAs and eventually full strokes. Discuss your options with your doc for treatment ...Read more

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Could blocked carotid arteries impair vision?

Could blocked carotid arteries impair vision?

Yes: It can cause a field cut (homonymous hemianopsia) in which vision is lost in the same area of the field in both eyes often described as "shade coming down"; it can also cause sudden blindness in one eye (retinal embolism). ...Read more

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Could blocked carotid arteries impair vision?

Could  blocked carotid arteries impair vision?

Definately: Amarosis fugax, or "fleeting blindness" is described as a curtain coming down over your eye -- this is a classic presentation of carotid artery disease. You should see your doctor right away. ...Read more

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Can carotid arteries be replaced if they are too blocked for carotid end-arterectomy?

Can carotid arteries be replaced if they are too blocked for carotid end-arterectomy?

No: If you have a complete blockage of the carotid artery, then no treatment is advised. If blockage is severe, carotid endarterectomy or stenting can be done. The degree of blockage and presence of symptoms determine the need for intervention. ...Read more

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What are the treatment options for blocked carotid arteries?

What are the treatment options for blocked carotid arteries?

Just depends: There are a lot of options when discussing carotid artery disease. The treatment guidelines are very strict and are based on symptoms and the degree of narrowing found on tests. The options range from observation to placing a stent or surgery to remove the blockage. It is really hard to tell which one is the right treatment until evaluated by a vascular surgeon. ...Read more

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What happens if your cardiologist told you both of your carotid arteries were blocked?

What happens if your cardiologist told you both of your carotid arteries were blocked?

Depends: Depends on the degree of blockage. In most cases it is just an indicator that a patient needs treatment for generalized atherosclerosis. In occasional cases it increases the risk for stroke and needs to be treated. See a vascular surgeon for a good opinion. ...Read more

Carotid Arteries (Definition)

The carotid arteries start in the chest and progress up the sides of the neck. About mid neck they split and one branch supplies blood to the face the, the other continues without branches into the skull and supplies ...Read more