Doctor insights on:
How Long Does Carotid Artery Surgery Take
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Not necessarily: Age is relative. If a high functioning person has a TIA (mini-stroke) or a full blown stroke with carotid artery narrowing > 50%, then offering carotid surgery is an option. Poor cardiac function (a bad heart) is a contraindication for general anesthesia, however there are other options such as carotid stenting or an awake carotid endarterectomy using a nerve block. ...Read more
Recovery after CEA: I ask my patients to see me back in the office around 7-10 days after the procedure and tell them they can return to full speed at that point but the neck will take about 4-6 weeks to go back to flat again. ...Read more
See below: Carotid endarterectomy is a very safe procedure when performed by an experienced vascular surgeon. That said, complications that can occur duing the procedure include neurological injury, cranial nerve injury, bleeding and complications of anesthesia. These are all quite rare but can occur. Never be afraid to ask the surgeon what his/her complication rate is! ...Read more
Numbness: The most common post-op complaint is actually incisional numbness as well as numbness over the jaw bone of the operated side. Male patients have to be careful when shaving post-op. Pain is surprisingly not a common complaint, or at least manageable. Risks of a carotid endarterectomy include bleeding, nerve injury, stroke and heart attacks- the risk of any major adverse event should be around 2-3%. ...Read more
Recovery: A few days.Get a more detailed answer ›
Rumors exist: There is definitely evidence that the use of statins reduces the incidence of strokes and heart attacks. There have been isolated reports of carotid plaque (narrowing) shrinking with the use of statins but this has not been found true for everybody. Most people agree that statins work by "stabilizing" the plaque and preventing it from rupturing and causing a stroke. This is a hotly debated topic. ...Read more
A family member just returned home from carotid artery surgery on the left side what are the normal after effect symptoms?
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
Is. Carotid artery surgery. Safe. I have. 70 percent. Blockage. Had. Known. Of. 3 people. Who had. A stroke?
Medical: If you are an 80 year old female with a 70% stenosis that has not caused you any trouble, the best option is to keep an eye on it and be treated medically. That's what I'd tell my mom! ...Read more
I feel a slight lump in the area where I had the carotid artery surgery. Is this normal and will the lump eventually go down?
Yes and yes: If you are concerned always best to check with your vascular surgeon, there's an inflammatory and healing process going on at the site, with time the lump will shrink. ...Read more
Unusual: Typically carotid artery disease causes stroke or TIA by embolic phenomena where a plaque rupture induce clots that travels to the brain. Due to extensive blood flow to brain from two carotid arteries and two vertebral arteries, it's unusual for chronic occlusion in one artery to cause symptoms but it can especially with more proximal occlusion, this can be corrected with bypas surgery or stent. ...Read more
My husband had carotid artery surgery a week before thanksgiving and has had feet so swollen since he got home he has been unable to walk.?
Go to Emergency Dept: Swollen feet and lower legs after any type of surgery (and associated sedation and anesthesia) is worrisome for deep vein thrombosis (blood clots). There are of course multiple other reasons, especially if the patient has had swollen feet previously (such as due to congestive heart failure). But it is prudent to seek immediate or urgent medical care, especially if you have not spoken with surgeon. ...Read more
What is the average life expectancy for someone who has had carotid artery surgery for radiation induced CAD? How risky is this surgery?
Area of radiation?: Radiation to the neck may cause carotid disease within 5-10 years and should be followed with serial studies ultrasound. The lesions may be longer than normal and may be more amenable to stenting than surgery. Mediastinal radiation increases the risk of many types of cardiac disease both involving the arteries as well as the pericardium, valves, and conduction system and requires diligent followup ...Read more
Yes. Call Now!: Patients who have had carotid artery surgery definitely have a risk of stroke. The highest risk of stroke is during and immediately after the procedure and is generally quoted at about 2%. If you are experiencing any signs of stroke and have had recent carotid surgery call your surgeon immediately or go to the emergency room. Difficulty speaking or weakness on one side of the body would be the most common complaints. ...Read more
I had carotid artery surgery 11 months ago. Incision is from earlobe to collar bone. Everything to the front of the incision is still numb. Normal?
I had carotid artery surgery 3months ago. A breathing tube was used. My voice is hoarse and weak. I have a cough. Vocal cords partially work. Help?
Long enough: At this point, you should see an ent. You may have an issue with vocal cords that should be evaluated. ...Read more
What could cause low oxygen levels after a carotid artery surgery and then hematoma removal surgery? Dry esophagus from ventilator?
No: Aspiration or hospital-acquired pneumonia, pulmonary embolism, underlying lung disease would be some of the possibilities. ...Read more
My father is 80 years old and one of his carotid arteries is 90% blocked - is he a good candidate for surgery or not?
My grandfather had a stroke. His carotid arteries are 100% and 85% blocked. What kind of surgery does he need?
Depends: We do not perform surgeries to open up complete (100%) blockages. For the side with 85% blockage he should first and foremost be on an Aspirin as well as a cholesterol lowering statin medication for optimal medical management. The surgical options are an open carotid endarterectomy or a carotid stent. If he can tolerate anesthesia then an open procedure is preferred. ...Read more
No: If they're occluded, they're gone and whatever damage was going to happen, happened. ...Read more
I have some blockages in my carotid arteries and will probably have to have surgery. Is this a very dangerous operation?
Depends: This is a very routine operation that carries a low risk of stroke and death if done in an experienced center with a skilled surgical team. The risk of stroke and death should be less than 3 percent. ...Read more
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