Doctor insights on:
Is The Surgery To Remove Carotid Blockages Very Dangerous
When getting ready for surgery to remove a blockage, am I supposed to continue to take blood thinners?
Like an onion: Arteries have layers similar to onions, but only 3. The disease which causes the blockage (atherosclerosis / plaque formation / cholesterol build-up) involves the inner 2 layers. During surgery we expose the carotid artery, clamp above and below the blockage, open the artery up and literally separate the inner 2 diseased layers from the outer strength layer, just like layers of an onion. ...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
Carotid surgery: Carotid surgery should be done when risk of not doing so higher. Stroke risk lowest for asymptomatic stenosis, higher in those with TIAs and yet higher with prior stroke. Risk of MI can be higher than stroke risk. Slight risk of bleeding, real but low risk cranial nerve injury, low risk of surgically significant carotid renarrowing. Generally stroke risk lower for surgery, MI risk lower for stent. ...Read more
Very low risk: If you have already survived a 100% blockage having a bypass surgery on that is very low risk. ...Read more
Had gallstones & blockage and gallbladder removed year ago. Never had problem with skin. Since surgery oily skin & breakouts constantly. Nothing helps?
Just got my Depo-Provera shot today having surgery a stent placed in my ureter along with a blockage removed tomorrow. Can I still have the surgery after dep.
Had small bowel resection (5ft), colon blockage removed, appendectomy, and hernia repair done in emerg surgery. Tons of side effects 3months later. Help?
Side Effects: The answer to your questions depends on the side effects you are having. Small bowel resection can affect stool transit time as well as nutrient absorption. Adhesions from any abdominal procedure may be a source of discomfort for some. I suggest you speak to your primary care doc about your symptoms to identify the most likely source of your symptoms. From there you can make a plan. ...Read more
What is the surgery proceedure to remove stenosis in the left carotid artery where it comes out at the top of the aorta?
There are several:
If you mean a stenosis in the common carotid off the aorta, the procedure would either be a stent or a carotid (or innominate) endarterectomy.
Much more common is a carotid endarterecomy, however this occurs where the internal carotid comes off the common carotid, not the aorta. ...Read more
"For patients with a narrowing of an artery between 50% and 99%, it is recommended that surgery to remove the plaque carotid endarterectomy, " True?
Complex: There is recent data suggesting that medication management may be as successful as surgery in stroke prevention, and there is another surgical intervention called stenting. Since patients vary and may do best with different approaches, get a few opinions prior to deciding the ultimate l pathway. ...Read more
Carotid blockage: If asymptomatic with use of proper medical therapy a moderate carotid blockage is fairly low risk. Many vascular surgeons would favor no intervention in this situation. If symptomatic, would recommend repair of this. Options include stenting or open surgery, carotid endarterectomy. Best data suggests that stenting over age 65 -70 has higher risk of stroke than endarterectomy. ...Read more
I had a major surgery in April 2014, it was to remove a carotid paraganglioma from my neck. Would it be a problem if I try to get pregnant?
No Worries: I think you should be fine and not worry. ...Read more
Mam I am married in dec-13, I want to know that I had abdomen surgary in 2004 due to blockage in intestine surgen remove that blockage. Know I get p?
Post surgical, yes: There is likely some relatively minor pain associated with the surgical area of incision in order to gain access to the carotid artery. Of course, that is if an endarterectomy is performed. If an intra-arterial procedure is done to clean the carotid artery by a radiologist then, there could be a bit less pain since the incision would be much smaller in the arm or groin. ...Read more
If carotid stenosis,: I would highly recommend consideration of a stent or enarterectomy, but if you are referring to other blood vessels supplying the brain, medication may be far more appropriate. ...Read more
Symptoms or >80%: Carotid endartectomy (cea) is a scientifically proven, remarkably effective procedure which prevents stroke in patients with symptomatic carotid stenosis or high grade (i.e. Greater than 80%) asymptomatic stenosis. It is a very durable and long lasting procedure and has a very high success rate when performed by an experienced vascular surgeon. ...Read more
Yes: See your vascular surgeon, unusual but can happen especially if smoke or serious blockage before. Ultrasound will reveal how bad it is. ...Read more
Not long: Intestinal blockage can be life threatening. Your health care team will care for you in a hospital, with intravenous lines and fluids, bowel rest, tubes into your stomach to control gastric volume and lower your risk for aspiration. Surgery will occur at some time during your hospital stay. Okay to ask your nurse or surgeon for more details. Pain control with IV narcotics and antibiotics. Be well ...Read more
Surgery for intestinal blockage and the doctor stated gangrene- could u explain surgery procedures please?
See below: Internal scar tissue inside the abdomen can cause an intestinal blockage. If a segment if intestine twists around the scar tissue sometimes that segment of intestine can die & become gangrenous. That bad segment of intestine would be removed & the good intestines reconnected. ...Read more
Yes: The most common side effect but should happen no more then 2% of the time. My stoke rate is <0.5%. ...Read more
Can vary greatly: Any surgical procedure will have some sort of pain associated with it - because everyone tolerates pain differently, it's near impossible to truly answer your questions. Rest assured, your nurses and doctors post-operatively will monitor your pain levels and correct them as needed or as able. Remember, reasonable pain control does not mean you feel no pain / zero pain / zero out of 10 on the scale ...Read more
Doesn't make sense.: I'm not sure what you're trying to describe. Carotid surgery is only advised when the FLOW rate (in mm/sec) is increased (indicating a narrowing of the artery). Describing the bifurcation in millimeters is of little relevance. An internal or external carotid artery of 1-2 mm diameter, however, is INCREDIBLY small. You may have been born this way. Use HealthTap Prime & upload the report to discuss. ...Read more
Yes: Prior vasectomy is a common reason for such surgery with excellent success rates in many patients. Other causes of blocked vas are rare. Epididymal blockage on the other hand is more common from std's and other infections. Surgery to correct this is possible but much lower success rates can be expected. Subspecialty urology would be the best answer for this type problem. ...Read more
Depends: It does depend on flow from the other side. If there is good flow from the other vessels then effects may be minimized. But must take very good care of himself and constant communication with his doctors is needed especially if any new symptoms present ...Read more
Should I go for surgery in carotid body tumor? What are the risk in operation? It would become successful or not?
Ys If you want to ge: Follow your doctor's advice. Once you have a tumor you need to get rid of it, otherwise it will cause you detriment...it is just a matter of time. So I would advise surgical removal to be done by an expert. A second opinion can also help to make certain that you have found the best professional to take care of this rare disease entity. ...Read more
No: If they're occluded, they're gone and whatever damage was going to happen, happened. ...Read more
Recovery: A few days.Get a more detailed answer ›
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