Doctor insights on:
Can My Artery Reclog After Carotid Endarterectomy
Yes: The recurrence rates after endarterectomy depend in a number of factors such as smoking, patch use for angioplasty and on going problems with managing the risk factors of peripheral vascular disease. Women may also be more likely to have recurrent disease. ...Read moreSee 2 more doctor answers
Arteries are a type of blood vessels. We can divide blood vessels into 2 categories. Arteries are high pressure vessels which deliver (red) oxygen + blood out into the body. Veins on the other hand or low pressure vessels which return (dark) oxygent - blood from the body ...Read more
"For patients with a narrowing of an artery between 50% and 99%, it is recommended that surgery to remove the plaque carotid endarterectomy," True?
Complex: There is recent data suggesting that medication management may be as successful as surgery in stroke prevention, and there is another surgical intervention called stenting. Since patients vary and may do best with different approaches, get a few opinions prior to deciding the ultimate l pathway. ...Read more
Clopidogrel for TIA versus Or Surgery for Female 75 If Carotid Artery over 70% Occluded with a Surgeon with High Volumes of Carotid endarterectomy ?
Get 2nd opinion : Other than medical therapy (which would be dual anti platelet + statin) and endartectomy, there is also catheter based treatment option (that is thrombectomy and stenting) in the hands of an experienced intwrvwntional cardiologist. Without knowing more about the plaque morphology, hard to advise. Carotid endartectomy is high risk vascular surgery. Pls obtain opinion U.S.interventional cardiologist ...Read more
Clearing of Plaque: This is to surgically expose the carotid artery in the neck and to remove the plaque of the diseased artery. Arteries have 3 layers. Plaque / atherosclerosis develops in the inner two layers. The outer layer is the strength layer. These layers peel apart similar to the layers in an onion. Once cleared, the artery is closed using patch to prevent it from scarring down. The goal: prevent strokes. ...Read moreSee 2 more doctor answers
Carotid endarterecto: If you had a carotid surgery then you have physicians associated with that condition who should be available to you to answer any questions you have. Only general advice can be given from out here. ...Read more
Carotid intervention: CEA has lower stroke risk than stent, stent has lower risk of MI and cranial nerve injury. Each suitable at times. Best to go to provider that can do either. CEA generally better for standard risk patients, stent generally best if patient has had neck radiation, tracheostomy, or prior CEA. Can get biased view if provider can only do one or the other. Go to someone that can advise on risk/benefit. ...Read moreSee 2 more doctor answers
Very: We use the endpoint of stroke to define how effective carotid surgery is. Endarterectomy reduces the risk of stroke from 26% to 9% in patients with high grade stenosis (narrowing) who have had mini-strokes or strokes in the past. In people who have not suffered mini-strokes or strokes but have a high grade stenosis, endarterectomy reduces risk of stroke from 10% to less than 5%. ...Read moreSee 2 more doctor answers
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