Doctor insights on: Femoral endarterectomy complications

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What happens during remote superficial femoral endarterectomy?

What happens during remote superficial femoral endarterectomy?

Open stenting: The surgery involves a groin incision, remove the blockage with special device from the femoral artery and insertion of a stent. Rupture and bleeding could happen in the surgery and long term occlusion of the stent and the artery could happen. Infection in the groin area too. The good thing about this surgery is that it avoids a thigh incision which could add to pain and infection risk. ...Read more

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What is recovery from femoral endarterectomy like? Does it take weeks to fully recover?

What is recovery from femoral endarterectomy like? Does it take weeks to fully recover?

Femoral endartectomy: Usually we try to get people mobile as soon as possible. It does take a week or so to allow the incision to heal, but you should be up and about fairly soon after surgery. Depending on your type of work, you should be able to return to work in 5 to 7 days. ...Read more

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What are the risks of remote superficial femoral endarterectomy?

What are the risks of remote superficial femoral endarterectomy?

Embolization: The usual bleeding and infection are risks. The worst is the possibility of embolization from the procedure or thrombosis of the treatment site. ...Read more

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Is vascular lithotripsy on a femoral lesion an effective and safe means of plaque ablation? Any better than atherectomy or endarterectomy?

Is vascular lithotripsy on a femoral lesion an effective and safe means of plaque ablation? Any better than atherectomy or endarterectomy?

No: There is no role for lithotripsy in the treatment of peripheral arterial disease. Lithotripsy is a procedure primarily designed to break up kidney stones. If the procedure were used on arteries, the fragments might break off and further damage arteries downstream. The treatment for atherosclerotic related arterial disease includes medical management, the minimally invasive procedures you mentioned, and open procedures. Experienced vascular surgeons can offer all three methods. ...Read more

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Why have a femorsl endarterectomy when there are atherectomy procedures to consider instead?

Why have a femorsl endarterectomy when there are atherectomy procedures to consider instead?

It's just an option.: Vascular surgeons and their patients are often presented with a complex series of choices and operative approaches. There are always different approaches that can be taken. This includes minimally invasive techniques, open surgery, or hybrid approaches that combined both. I use the approach you mention when patients do not have any vein for a bypass and have pain at rest. Can be effective. ...Read more

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Any lethal complications to carotid endarterectomy?

Any lethal complications to carotid endarterectomy?

Plenty: Most dreaded complication is a stroke, and a minority of these can be lethal. In some patients, bleeding in the surgical bed can lead to a collection of blood/fluid that generate enough pressure to impair airway function, this is a life threatening condition. Heart attacks, pulmonary emboli and arterial dissection can also happen, but fairly rairly. ...Read more

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Are there any fatal complications tocarotid endarterectomy?

Are there any fatal complications tocarotid endarterectomy?

Yes: The two most feared are heart attack and stroke. Your heart should be worked up completely first and stroke can occur during the operation. If stroke is a concern special planning should go into the operation. ...Read more

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What are normal symptoms following endarterectomy?

What are normal symptoms following endarterectomy?

None: If all goes well, about the only symptom you should have is a little pain around the incision. If you are having other issues, then its time to call your surgeon. ...Read more

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What are the main symptoms following endarterectomy?

What are the main symptoms following endarterectomy?

Surgical site relate: Mainly post op pain and swelling at the surgical site. This should only last a week or so. ...Read more

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Is it normal to have pain four weeks after an endarterectomy?

Maybe a little: Healing can be slow or rapid depending on the individual. If something has happened to cause poor healing, like an infection, then that is not normal. This should be discussed with your surgeon. ...Read more

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What device is used to remove plaque during an endarterectomy?

What device is used to remove plaque during an endarterectomy?

Penfield Elevator: Open endarterectomy is done through a surgical incision with an instrument that looks like a spatula with a small rounded end. The plaque is held with a forceps while the elevator pushes the remaining artery away. Sharp scissors are sometimes needed. ...Read more

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When having a R CFA endarterectomy should the patient have a catheter during the procedure.

When having a R CFA endarterectomy should the patient have a catheter during the procedure.

Well...: If you are having a procedure that requires close monitoring of fluids, or there is a chance you might have difficulty urinating, there is a need for a Foley catheter, otherwise, if you can urinate in a receptacle, no there is no need.
Take into account that different Drs and institutions have different protocols and these are created with thought and prevention in mind ...Read more

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How effective is carotid endarterectomy?

How effective is carotid endarterectomy?

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 more

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How likely is survival for carotid endarterectomy?

How likely is survival for carotid endarterectomy?

Generally good.: Carotid endarterectomy (cea) generally has a low operative morbidity (complication) and mortality (death), and this is because CEA should not be generally offered in patients who are not an acceptable risk and who don't have an adequate life expectancy. Consult with a vascular surgeon to discuss this operation in more detail. ...Read more

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What are the chances of survival after carotid endarterectomy?

What are the chances of survival after carotid endarterectomy?

Very good: If the patient has no major stroke and before surgery has no severe medical illness then mortality is less than 1-2 %. ...Read more

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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 more

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How hard is the recovery from an endarterectomy?

How hard is the recovery from an endarterectomy?

Not bad: Sore throat little hard to swallow fora week a bit neck bruising incisional pain I'm assumimg this is an open endarterectomy. ...Read more

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What does it mean to have carotid endarterectomy?

What does it mean to have carotid endarterectomy?

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 more

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