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Doctor insights on: How Long Do Carotid Stents Generally Last

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How long do carotid stents generally last?

How long do carotid stents generally last?

Years: The 5-year re-stenosis rate for carotid stents is less than 20%. That means over 80% remain open/patent after 5 years. ...Read more

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Do stenting procedures for carotids also clean out the existing plaque?

Do stenting procedures for carotids also clean out the existing plaque?

No, compresses it: Stenting has 2-3x the risk of surgery of stroke TIA and death. Find good surgeon with 1-2% stroke rate and don't get stenting unless you are very high risk for surgery, have hade radiation to neck or in some cases redo. ...Read more

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What's it like to have a stent in either carotid or vertebral artery?

What's it like to have a stent in either carotid or vertebral artery?

Placed in both: I have experience in deploying stents in both carotid and vertebral arteries. Mostly these are treated with surgery but stenting is a viable option in select group of patients who are not candidates for surgery. ...Read more

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What is the definition or description of: carotid stenting?

Steps of CAS: 1. Conscious sedation 2. Puncture radial or femoral artery 3. Placement of catheter into common carotid artery with angiogram 4. Placement of distal protection device or flow reversal device 5. Pre-dilatation of the stenosis with a small balloon 6. Stent placement 7. Post stent balloon angioplasty 8. Repeat common carotid angiogram 9. Removal of distal protection device or flow reversal. ...Read more

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My carotid has a 60% occlusion - when do I have to have a stent place in it?

My carotid has a 60% occlusion - when do I have to have a stent place in it?

Usually 70%: How did you find out that your artery is 60% occluded. Usually guidelines state that you do not need a stent placed until you are having symptoms (lightheadedness/dizziness, vision loss, etc) and it is 70% occluded. Depending on your situation, however, your primary doctor or cardiologist may have a different discussion with you. It is best to also get their opinion. Best wishes. ...Read more

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Can a carotid stent be visible from the outside?

Can a carotid stent be visible from the outside?

No: Carotid stents can not be seen from the outside. It takes an x-ray to be able to visualize the carotid stent. ...Read more

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Is stenting or carotid endarterectomy better?

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 more

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What kind of hospital does carotid stenting and endartectomy operations?

Any hospital but: Carotid surgery or stenting can be done in any hospital as long as you have the surgeon with experience to do them , especially for carotid stent you need to pick an institution with large volume because it definately affects outcome , so ask your doctor before you proceed. ...Read more

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Who cannot have a carotid stent operation?

Who cannot have a carotid stent operation?

See below.: Patients with calcified arteries or plaque in the arteries in their chest - risk of it breaking off and causing a stroke. This includes many older patients >80 years. Patients with tortuous or twisted arteries - can't get the stent up to the carotid. Some argue that low surgical risk asymptomatic patients should get surgery or nothing due to the higher stroke risk in several studies with stents. ...Read more

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When should someone have carotid artery stenting done?

Carotid stenting: read this for some information: http://www.vascularweb.org/vascularhealth/pages/carotid-stenting.aspx

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