Top
20
Doctor insights on: Femoral Endarterectomy Procedure

Share
1

1
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.

2

2
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.

See 1 more doctor answer
3

3
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.

See 1 more doctor answer
4

4
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.

See 1 more doctor answer
6

6
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.

See 1 more doctor answer
7

7
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

8

8
What is the survival rate, with no stroke or brain side effect, of this procedure carotid endarterectomy?

What is the survival rate, with no stroke or brain side effect, of this procedure carotid endarterectomy?

Excellent: National statistical risk of stroke following carotid endarterectomy is quoted at 2-3%. If you have had stroke symptoms leading up to surgery, that risk doubles.

See 1 more doctor answer
9

9
If I had Surgery for Carotid endarterectomy could they be done together (as both 50% Occluded)by an experienced Surgeon with high volumes procedures?

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.

10

10
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.

11

11
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.

12

12
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.

13

13
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.

14

14
Wondering if it's normal to still have soreness and pain, five weeks after an endarterectomy?

Not usually: Soreness and pain that far out are not usually encountered.

15

15
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%.

See 2 more doctor answers
16

16
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.

17

17
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.

See 2 more doctor answers
18

18
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 %.

See 2 more doctor answers
19

19
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.

See 2 more doctor answers
20

20
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.