Doctor insights on:
Alzheimers Patient Blocked Carotid Artery
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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
Support: http://vasculardisease.org/resources-support/online-support-community/.Get a more detailed answer ›
Carotid Dissection: To my knowledge there is no such community established yet. ...Read more
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 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
What do you suggest if my carotid artery is 80% blocked and I am going in for carotid stenting next thur. started smoking again am i?
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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