Doctor insights on:
Recovery Period Carotid Bypass
Step by step: Hello leenicole-- coronary artery bypass ad graft surgery is done in a strict step by step procedure involving first obtaining the bypass graft vessels -- which could be veins in the leg or arteries in the arms/chest -- then the sternum (chest bone) is split and forced open to access the heart in full view and the blocked vessel is bypassed -- etc. ...Read moreSee 1 more doctor answer
Complex, routine: With or without a heart-lung machine to isolate the heart from the circulation, conduits like vein segments or arteries are placed from the aorta (oxygenated blood) to the target artery beyond the blockage site, thus restoring oxygen to the heart muscle. If suitable, off-pump procedures can be used, though uncertain how much is gained with that less traumatic technique. ...Read moreSee 1 more doctor answer
Good results: CABG surgery has good long term results. You can expect to live longer, have less cardiac interventions, and relief from angina. The lima graft has >90% patency at 20 years. The radial artery graft about 70% at 10 years and vein grafts 50% at 10 years. About 10% of patients need a redo operation at 10 years. ...Read moreSee 1 more doctor answer
Carefully: The distal end of the internal mammary artery is anastomosed to the coronary artery distal to the atheromatous plaque using 8-0 polypropilene and high power magnification. Radial artery or grater saphenous vein grafts are anastomosed to the ascending aorta and tho the coronary distal to the plaque. Obviously the thorax has to be entered and cardiopulmonary bypass may or not be used, . ...Read moreSee 1 more doctor answer
Not necessarily: A CABG if done without cardiopulmonary bypass (cpb) does not require the heart to be opened, however most cabgs are done with cpb requires cannula placement in the heart. However, most people consider any surgery on the heart where the chest is opened open heart surgery. ...Read moreSee 2 more doctor answers
Short: If the stent is placed in electively (and not for myocardial infarction), recovery is quite short. We tell our patients not to walk a long distance, lift anything heavy, or drive a car for 2 days. They are also instructed not to submerge the puncture site in the leg for one week. Showers are okay. ...Read moreSee 1 more doctor answer
Not very: As expected, the first few days are rough and intravenous narcotics are given to relieve pain and promote sleep. By a week the pain is usually just soreness and easily controlled with oral meds. By a month, most people really don't have much pain or any at all. For some, the vein harvesting site in the leg stays sore longer than the chest. ...Read more
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 moreSee 5 more doctor answers
6-12 week restricted: The sternum (breast bone) is the vulnerable item after bypass and one shouldn't drive or lift anything >5# for 6 weeks. No heavy lifting for 12 weeks. One can walk and shower within days. Sex is okay when one feels well enough. Fatigue is common for 1 - 3 months. Appetite may be depressed the first several weeks. Pain is minimal & easily controlled. ...Read more
Rare!: Endarterectomy is not commonly performed during coronary artery bypass grafting; but in the strict sense of it, it is the removal of the plaque and really part of the inside wall of the artery during the operation. This by the way, is the common way of clearing the carotid arteries (arteries in the neck). ...Read moreSee 1 more doctor answer
Carotid Subclavian: There are many risks with any vascular surgery. You need to discuss with your vascular surgeon because risk profile varies with each individual. Recovery period is usually 2 weeks. ...Read more
Safe procedure: This is generally a safe procedure in most patients. There are risks to injury to nerves, including nerves to the diaphragm, tongue, and voice box. There is a risk of injury to the thoracic duct, a major lymphatic vessel that can be close to the subclavian artery. Overall, these risks are low. Most people recover easily within 24 hours and go home the next day. ...Read moreSee 1 more doctor answer
Is it true that a vascular bypass surgery is only good for 5-10 years? What will happen to the pt after that period? Will she need amputation then?
Vascular Bypass Life: Yes, the average life-expectancy of a vascular bypass does range 5-10 years for most patients. Heart bypasses tend to last longer than bypasses in other locations of the body. Bypass that uses vein tend to last longer than those that utilize synthetic conduits, such as gortex or dacron velour grafts. Bypass life can be extended by doing stents or angioplasty or even surgical revision over time. ...Read moreSee 2 more doctor answers
Will compressing(blocking) both the left and right common carotid arteries for a sufficient period of time lead to complete brain death?
I notice whenever I have my period that the carotid artery on the right side of my neck swells up. Is this normal?
No: The swelling you are seeing in your neck is not the carotid artery. The carotid artery lies deep in the neck and can't be seen at the skin level. The swelling might be the external jugular vein. If so this might be the sign of increased venous pressure. ...Read more
Can you survive with one carotid artery? I'm not talking about a blocked one. I'm talking about not having one period.
Common anomaly.: An absent carotid artery, believe it or not, isn't uncommon (between 1 to 3% of people have it). Blood flow to the brain goes via the carotids as well as the 2 vertebral arteries. In the brain, they form a "circle of Willis" so that less blood flow thru one artery is compensated by more flow thru the others. For those w/o 1 of the 4 arteries, the others get bigger & supply the whole brain. ...Read moreSee 1 more doctor answer
Having my period for 2 weeks will not go away really heavy and blood clots I did have gastric bypass surgery a year ago?
I had gastric bypass surgery in 2006. I was wondering if it is normal to have green bowel movements. I have them several times a month for like the past year or so. It is most noticeable the week around my period. Is this normal?
Interesting: If occurring several times a month, not likely associated with your period (unless it is also occurring several times a month?). If no other symptoms (pain, nausea, vomiting, fever, weight loss) then reassuring. Associated with certain foods/beverages (food dyes?). Might want to keep symptom and food diary to see if link. Would also discuss with your surgeon. Hope this helps. Good luck. Dr R ...Read more
Exercise, monitoring: With vascular disease your best long term result is to quit nicotine, exercise, take your vascular medications, go in for routine vascular monitoring (ultrasound of your graft and other arteries with plaque). Graft patency is enhanced with vascular medications and monitoring. ...Read moreSee 3 more doctor answers
Low: Depends on where you are and who you talk to, but most recent registries and studies have the mortality from surgery at about 1-2 percent. The waters get muddy when death, stroke, and heart attack are lumped together. All things considered, carotid surgery gives the best long term results. ...Read more
3% or less: I assume you mean carotid endarterectomy, which is a relatively common operation to remove plaque which is partially obstructing flow through the artery to the brain. The best surgeons report complication rates of 3% or better. When the carotid artery is totally blocked, then a bypass can be created past the blocked artery. This must be done by a skilled neurosurgeon. ...Read moreSee 1 more doctor answer
2-4 weeks: Most people will have their stiches out in 2 weeks. There may be a touch of fatigue for anothe r1 or 2 weeks but you should be ready to work in about 3-4 weeks from the date of operation. ...Read more
Yes: Minimal. Women walk out of the office after an amnio. From the mother's point of view the recovery is no different from having gotten an immunization - a little soreness at the needle site. Women should rest a bit if they are feeling contractions after the amnio, which is not uncommon for a short period of time. ...Read moreSee 1 more doctor answer
This is wildly....: Variable and dependent upon the disease, the severity of presentation, the existence of comorbidities, the emergence of complications, etc. While most admissions are relatively short, and it is our goal to get people out of the hospital as rapidly as possibleive cared for patients who have been hospitalized for several months consecutively. Perhaps you could be more specific in your question? ...Read moreSee 1 more doctor answer
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