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Doctor insights on: How Long Does Carotid Artery Surgery Take

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Can you be too old for carotid artery surgery?

Can you be too old for carotid artery surgery?

No: If it is not safe to be under genera anesthesia, it can be done under local. ...Read more

Dr. Amrita Dosanjh
1 Doctor shared a insight

Artery (Definition)

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


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Can you be too old to have carotid artery surgery?

Can you be too old to have carotid artery surgery?

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

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What is recovery time after carotid artery surgery?

What is recovery time after carotid artery surgery?

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

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At what usual age are you too old for carotid artery surgery?

At what usual age are you too old for carotid artery surgery?

It depends.: It depends on the functional status of the patient. I have done carotid surgery on a 96 yo who was highly functional. Overall the incidence of stroke is slightly higher but still very low. What also has to be considered is whether the patient is symptomatic or not. ...Read more

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What is the definition or description of: carotid artery surgery?

What is the definition or description of: carotid artery surgery?

Carotid surgery: Is one of two primary ways to address blockage in the carotid artery that could lead to stroke. The other is carotid stenting. ...Read more

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At what age are you considered too old for carotid artery surgery?

At what age are you considered too old for carotid artery surgery?

None specific: Patients 80 years and above considered high risk for any procedure including carotid surgery. But some patients who are above 80 yrs old are better candidates for carotid surgery than some 60's and 70's yr old patients. So it really depends on every patient. ...Read more

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If I had carotid artery surgery, what is the expected recovery time?

If I had carotid artery surgery, what is the expected recovery time?

Fast: Really depends if you have pre or post procedure stroke or mini stroked which should be unusual. Most probably of everything goes well you can be home next day of surgery and active going to work within a week if pain is controlled ...Read more

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What are complications that can happen during carotid artery surgery?

What are complications that can happen during carotid artery surgery?

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

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What are the side effects of carotid artery surgery?

What are the side effects of carotid artery surgery?

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

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Can statin drugs reduce need for carotid artery surgery?

Can statin drugs reduce need for carotid artery surgery?

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

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A family member just returned home from carotid artery surgery on the left side what are the normal after effect symptoms?

A family member just returned home from carotid artery surgery on the left side what are the normal after effect symptoms?

Symptoms after surge: He can continue to have the left side of chest pain, shortness of breaths with over exertion. Pain at the surgical sites. So keep eyes on the possibility of infection or bleeding or other post-surgical related issues. ...Read more

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Anyone done a carotid arteriogram and stenting after carotid artery surgery?

Anyone done a carotid arteriogram and stenting after carotid artery surgery?

Yes: Usually for re-stenosis most surgeon will perform stenting if indicated instead of redo surgery although no true benefit of stenting over surgery in these cases. In acute sitting, yes stenting is being done to repair a post carotid surgery flap or dissection. ...Read more

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Is it normal to have glandular swelling 1 year after carotid artery surgery?

Is it normal to have glandular swelling 1 year after carotid artery surgery?

A "knot".?: If you're feeling a "knot" in the area of the surgery, it's probably not a swollen "gland" (lymph node), it's probably sutured tissue that you're feeling. ...Read more

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Can you tell me about carotid arteriogram and stenting after carotid artery surgery?

Can you tell me about carotid arteriogram and stenting after carotid artery surgery?

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

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Is. Carotid artery surgery. Safe. I have. 70 percent. Blockage. Had. Known. Of. 3 people. Who had. A stroke?

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

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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

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Carotid artery surgery for lack of blood supply to the brain?

Carotid artery surgery for lack of blood supply to the brain?

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

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Can the nerve to the vocal cord be damaged in in carotid artery surgery?

Yes: The main nerve vagus runs in the surgical field and we try to protect it.
The vagus gives off the recurrent laryngeal
to the voice box.
Cautery, pressure, cutting the vagus will cause a problem. ...Read more

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How do doctors make sure that the brain keeps getting blood during carotid artery surgery?

How do doctors make sure that the brain keeps getting blood during carotid artery surgery?

EEG or Shunt: There are two ways to know. Some people use a EEG to monitor the brain activity to assure enough blood is flowing to the brain. Others use a small tube to allow blood to bypass the work/surgery site in order to assure blood is always being supplied they work. ...Read more

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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.?

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

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What is the average life expectancy for someone who has had carotid artery surgery for radiation induced CAD? How risky is this surgery?

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

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Carotid artery surgery and lack of blood supply to the brain. Could that cause stroke effects?

Carotid artery surgery and lack of blood supply to the brain. Could that cause stroke effects?

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

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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 11 months ago. Incision is from earlobe to collar bone. Everything to the front of the incision is still numb. Normal?

Common: Numbness near a carotid artery surgery incision is quite common and does not indicate a problem this may last for a year or more, but, usually becomes less of an issue over time. It is due to the cutting of microscopic nerves to the skin and is most often a nuisance only. ...Read more

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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

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My father is 80 years old and one of his carotid arteries is 90% blocked - is he a good candidate for surgery or not?

Possibly: It depends on his general health especially the condition of his heart and lungs. The surgeon must report no more than a 3 - 5% complication rate. He may be a candidate for a stenting procedure if he has heart problems or multiple strokes. ...Read more

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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

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Could carotid arteries be replaced if they are to occluded for surgery carotid endartectomy?

No: If they're occluded, they're gone and whatever damage was going to happen, happened. ...Read more

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I have some blockages in my carotid arteries and will probably have to have surgery. Is this a very dangerous operation?

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

Carotid Arteries (Definition)

The carotid arteries start in the chest and progress up the sides of the neck. About mid neck they split and one branch supplies blood to the face the, the other continues without branches into the skull and supplies ...Read more


Dr. Shadi Abu Halimah
94 Doctors shared insights

Carotid Artery Surgery (Definition)

Is one of two primary ways to address blockage in the carotid artery that could lead to stroke. The ...Read more