Doctor insights on:
How Long Do Carotid Stents Generally Last
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
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
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
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
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
Read this for some information:
http://www. Vascularweb. Org/vascularhealth/pages/carotid-stenting. Aspx ...Read more
Procedure: Performed from a small puncture into the artery in your groin area. A catheter is inserted and is used to evaluate the stenosis. A protection device is then inserted through the blockage and deployed. A suitable stent is inserted and deployed. A balloon opens stent to final diameter. Completion images are taken. Protection device retrieved. Catheters removed. See sirweb. Org. ...Read more
No.: Depending on the reasons your mom has been recommended for a carotid stent, generally i'd say she shouldn't have one. For most experts on carotid artery disease the reasons to suggest carotid stenting are few. Unless she has had neck surgery or radiation in the past, i'd guess she doesn't really need one. Discuss further with a board-certified vascular surgeon. ...Read more
Potentially yes....: Carotid stenting is associated with a 4%-8% stroke risk (higher than endarterectomy), 1%-2% potential risk for a heart attack (lower than endarterectomy), and femoral artery access complications such as bleeding (unique to carotid stenting). In the properly selected patient (suitable anatomy) with active heart disease, previous surgery or neck radiation, carotid stenting is a great procedure. ...Read more
Yes but not standard: Yes, but it is not standard practice as it may be possible for one's blood pressure to either be too high or too low after carotid stenting. It is standard practice to monitor patients overnight. There is a baroreceptor at the location of the carotid stent which is thought to play a role in the occasional unpredictable blood pressure changes post-stenting. ...Read more
Yes: It is not unusual to have headaches on the side of the stent soon after carotid stenting, especially if the carotid stenosis was high grade. These headaches usually resolve within days. Severe headache accompanied by hypertension in this setting can be worrisome and should be discussed with your doctor, as it can be a sign of reperfusion syndrome. ...Read more
Can you tell me if there are any side affects to having a carotid artery stenting (cas) procedure done?
Stroke: Is the major side effect aside from bleeding, contrast reaction and damage to arteries. Please discuss your individual case with your physician. ...Read more
My carotid artery is 80% blocked and I am going in for carotid stenting next thur. Started smoking again. Am I going to be okay??
Avoid smoking: Since that is what caused it. Somewhat concerned about you getting a carotid stent at age 42 since it is reserved for high risk patients. You should discuss carotid stent vs carotid endarterectomy with your physician. ...Read more
What do you suggest if my carotid artery is 80% blocked and I am going in for carotid stenting next thur. Started smoking again am i?
2 option: Stop smoking and consider a 2 nd option. ...Read more
Complicated: A doctor that knows your mother well can advise on whether a carotid stenosis needs to be fixed based on symptoms and severity of stenosis. The choice of surgical endarterectomy versus stenting can be discussed at that time. Results are similar with both methods. She should make sure her insurance carrier will pay for a carotid stent procedure. ...Read more
Talk to: Neurologist first. Will help you decide if medical or surgical treatment needed. The neurologist knows who has good outcomes. As an interventional radiologist, I perform carotid stents several times a week and have very low stroke rate. Need someone with experience. See sirweb. Com for more info. ...Read more
If you have: Restenosis of your carotid artery, then carotid stenting may help. Like a heart cath access is obtained into the artery at the groin. Catheter deploys a protection device, which looks like a small umbrella, into the artery. Stent is deployed and dilated with a balloon. Devices are then removed. Usually home next day. Make sure doctor has a lot of experience which will make the procedure safer. ...Read more
Has mini strokes from scar tissue pressing against only carotid artery with a reenforced stent. 2 mini strokes been in bed since and vomiting 2 days.?
Suggestions: Would not delay contact with a physician, as your history suggests potential risks which need attention. With your prior stroke events, I might be concerned of a further stroke in your brainstem, but the effect of your vomiting can increase intracranial pressure transiently, which might worsen all of the above. Contact your physician ASAP. ...Read more
If my husband had angioplasty and stent put in last week how long must we wait before being intimate again?
Ask your doctor: Nothing about a stent should impact intimacy. The underlying heart trouble might. Ask you doctor about your specific case. ...Read more
Stents: The spasms associated with ureteral stent removal are most often due to ureteral spasm. This is very similar to the colic pain produced by a stone passing. They usually subside within 24 hours. If not, it may be that a stone fragment remains in the ureter and needs attention. The drug ketorolac taken orally or intranasal, can be quite effective in controling ureteral colic at home. ...Read more
I want to know that if I get a stent and graft at the age of 43, how long will the stent last before needing to be replaced or repaired.?
Depends: Unclear what stent you are talking about, clarify please. ...Read more
A long time: As long as there are no infections and the stent graft doesn't move, stent grafts are known to last for the life of the patient. Problems arise when the graft moves or the "seal" is lost and the aneurysm sac starts to grow again. This is why monitoring of stent grafts with ct angiograms or ultrasounds is very important. ...Read more
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