Doctor insights on:
Treatment For 100 Blocked Carotid Artery
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 moreSee 1 more doctor answer
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
Clopidogrel for TIA versus Or Surgery for Female 75 If Carotid Artery over 70% Occluded with a Surgeon with High Volumes of Carotid endarterectomy ?
Get 2nd opinion : Other than medical therapy (which would be dual anti platelet + statin) and endartectomy, there is also catheter based treatment option (that is thrombectomy and stenting) in the hands of an experienced intwrvwntional cardiologist. Without knowing more about the plaque morphology, hard to advise. Carotid endartectomy is high risk vascular surgery. Pls obtain opinion U.S.interventional cardiologist ...Read more
My mom is 90 years old with asymptomatic 80% blocked carotid artery . On Aggrenox. BP and cholesterol well controlled. ? Advise surgery tX or stent?
CEA or nothing: Carotid stents are relatively contraindicated in > 80 yrs old; CEA (endarterectomy) is high risk but safe in competent hands. The risk of heart attack is elevated in CEA pts > 80 yrs old, while stroke was higher (and more disabling) w/ stents (cas). In pts > 80 yrs old w/ good heart, lungs , and kidney fxn, CEA is tolerated well. Aspirin & Plavix (clopidogrel) is not superior to stroke prevention v. Cea. ...Read moreSee 3 more doctor answers
I have Carotid Stenosis. Left carotid is 100% blocked at the source. Right Carotid is up to 80% blocked. I'm 61. No one will operate, why?
Opinion: Get another opinion from a cardiovascular surgeon. It may be that the risks of operating out way the benefits. It may place you at greater risk of a stroke. Explore all your options and sit down with your doctor and have a discussion. All the best. Are you taking blood thinners? ...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
No: If they're occluded, they're gone and whatever damage was going to happen, happened. ...Read more
Plaque removal: It is a technical operation. Artery is controlled, opened under full anticoagulation. Shunt placed to maintain blood flow to your brain and the lesion removed. If the artery is small caliber a patch can be used to increase caliber or close artery primarily. For my patients, I photograph the plaque for them. ...Read moreSee 1 more doctor answer
See your doctor: The treatment options for occluded vertebral arteries are not as well defined as those for carotid artery stenosis. That said, there is a possibility of vertebral artery angioplasty, but your doctor will better be able to assess the risks and benefits after determining the degree of occlusion of the artery. ...Read moreSee 1 more doctor answer
Excellent: Ultrasound duplex imaging of the cervical carotid arteries is very good at determining significant arterial narrowing. Changes in the flow patterns of the carotid arteries can also suggest disease in the internal carotid arteries further on in at the skull base even though the arteries themselves cannot be seen at that level. ...Read more
Theoretically it can: However, serrapeptase hasn't been studied well to confirm its effectiveness for this purpose. Do the basic rule- diet, exercise, attain normal blood pressure , sugar, cholesterol and weight. Follow up with your dr. .http://www.ehow.com/facts_5040330_side-effects-serrapeptase.html#page=3. ...Read moreSee 1 more doctor answer
I've got one LAD artery 100% blocked but the other arteries are partially blocked/open should I try for a bypass?
Bypass: The appropriate therapy for multi vessel coronary artery disease needs to be recommended by the drs. Who know your whole history and data set. Often bypass is appropriate for people with multi vessel disease but not always. There isn't enough data here to advise you appropriately. ...Read more
None: Calcification of any artery, by itself, does not warrant any type of intervention or follow up. If that calcification is associated with a stenosis ("narrowing") of the artery, then that may require follow up and/or an operation. The carotid arteries are very often calcified and if associated with a high grade stenosis, may portend a higher risk of stroke. Discuss with a vascular surgeon. ...Read more
It depends: Depending on the number, location, and severity of the blockages, pumping function of the heart, and presence of other diseases like diabetes, bypass surgery can be very effective. For other situations, medical therapy or percunateous coronary interventions can be better. a healthy lifestyle is always the foundation of treatment, and a physician should be consulted for the most appropriate data. ...Read more
Middle LAD & circumflex artery are 100% blocked. Blockages, while severe, short in length.Both arteries receive collateral. Can angioplasty/stent help?
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
Yes: Patient with carotid stenosis should be on anti platelet medicine like Aspirin or Plavix , also if tolerated, must be on a statin( cholesterol lowering medicine) like Lipitor (atorvastatin) to stabilize atherosclerotic plaque and prevent its progression to worse stenosis. In cases of symptomatic carotid stenosis above 50% then surgery is better than just medical treatment. ...Read moreSee 1 more doctor answer
No: So, surgery can be done, but once it is 100% occluded there usually is no purpose to operating because the damage associated is already done. Now, the other side will be operated on and is important to make sure it is open to ensure appropriate flow to the brain. There are always exceptions to these statements and best is to see your own doctor or vascular surgeon for more specific info. ...Read more
Coronary artery dise: CABG is very effective at improving the symptoms of CAD in appropriate patients. Generally over 90% get good relief of symptoms sometimes for many years. The actual disease process isn't treated so CABG must be associated with diet, exercise and drug therapy long term. for the best results. ...Read more
Carotid artery stenosis means that the carotid arteries have blockage, usually in the form of atherosclerosis. This can cause stroke. The more severe the blockage, the greater the risk in the absence of neurological symptoms, most cases can be handled with medicine and close periodic follow up by a vascular surgeon. However, if the blockage is more than 80%, surgery will ...Read more
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