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Doctor insights on: Is The Surgery To Remove Carotid Blockages Very Dangerous

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Is the surgery to remove carotid blockages very dangerous?

Is the surgery to remove carotid blockages very dangerous?

No: This surgery, when performed by experts, can be very safe. Surgical outcomes do depend on the experience of your surgeon. Read more

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Can you explain how a carotid surgery to remove plaque works?

Can you explain how a carotid surgery to remove plaque works?

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

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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

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Is surgery for blocked carotid artery dangerous?

Is surgery for blocked carotid artery dangerous?

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

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How dangerous is open heart surgery with a 100% blockage?

How dangerous is open heart surgery with a 100% blockage?

Very low risk: If you have already survived a 100% blockage having a bypass surgery on that is very low risk. Read more

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Had small bowel resection (5ft), colon blockage removed, appendectomy, and hernia repair done in emerg surgery. Tons of side effects 3months later. Help?

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

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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

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"For patients with a narrowing of an artery between 50% and 99%, it is recommended that surgery to remove the plaque carotid endarterectomy, " True?

"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

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Is a moderate to severe blockage in left carotid artery dangerous?

Is a moderate to severe blockage in left carotid artery dangerous?

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

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Is there pain after caratid blockage surgery?

Is there pain after caratid blockage surgery?

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

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Stroke with 90% blockage, is surgery necessary?

Stroke with 90% blockage, is surgery necessary?

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

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When should you have carotid surgery?

When should you have carotid surgery?

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

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Can carotid block reoccur 3 mos. After previous surgery?

Can carotid block reoccur 3 mos. After previous surgery?

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

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How long does we have to wait before you have surgery with the intestinal blockage?

How long does we have to wait before you have surgery with the intestinal blockage?

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

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Surgery for intestinal blockage and the doctor stated gangrene- could u explain surgery procedures please?

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