Doctor insights on:
Femoral Endarterectomy Procedure
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
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
Plaque removal: Remote endarterectomy is a less invasive.Get a more detailed answer ›
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
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
What is the survival rate, with no stroke or brain side effect, of this procedure carotid endarterectomy?
If I had Surgery for Carotid endarterectomy could they be done together (as both 50% Occluded)by an experienced Surgeon with high volumes procedures?
First do you need it: First for 76 yr old with no symptoms like TIA 50% occlusion may not be an indication. If indicated the procedure is done one side at a time. Best advise you will get is from your ' experienced surgeon with high volumes ' Speak to the surgeon. ...Read more
Surgical site relate: Mainly post op pain and swelling at the surgical site. This should only last a week or so. ...Read more
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
Not usually: Soreness and pain that far out are not usually encountered. ...Read more
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
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
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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