Doctor insights on:
What Are The Risks And The Recovery Period For A Carotid Subclavian Bypass
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 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 more
High blood sugar over long time means tha diabetes is not properly controlled and it will show as high aic levels.Patient with poor diabetses control are at risk of getting micro and macrovascular complications
retinopathy and blndness
kidney failure and dialysis
coronary artery disease
peripheral vascular disease
diabetic neuropathy pain in lower exteremities
impotence in men erectile dysfunctio. ...Read more
Risks of headphones:
Damage to hearing depends on duration, even reasonable volumes can damage delicate hair cells in the inner ear. Also, consider the social isolation that occurs with prolonged use of headphones. Moderation in duration and volume www.nlm.nih.gov/medlineplus/ency/patientinstructions/000495.htm
www.nhs.uk/Livewell/hearing-problems/Pages/tips-to-protect-hearing.aspx ...Read more
Major surgery: A hysterctomy, by any method, is major surgery with all the risks and complications such as bleeding, infection, injury to bowel bladder or ureters, as well as anesthesia complications.It is not something that surgeons do without a good indication(reason).If your periods are abnormal, surgery may or may not be recommended by your md so please have him/her evaluate you. ...Read more
Energy drinks: Energy drinks contain a mixture of compounds, of which caffeine, guarana, and herbal supplements such as ginkgo and ginseng are major components. Jones et 2006 report a series of four patients who had discrete seizures on multiple occasions, following heavy consumption of energy drinks. Once the patients were abstinent from the energy drinks, no recurrent seizures were reported. Moderation please. ...Read more
Pregnancy and STI: While your fertile period is usually closer to 14 days prior to your period, you could still risk pregnancy as well as sexually transmitted infections including HIV, gonorrhea, Chlamydia, HPV, herpes... Just to name some of them! I recommend contraception if you are not trying to conceive as well as using a condom and choosing your partners wisely. You may want to consider being tested for STIs. ...Read more
Bypass: The risks of an infection after triple bypass relate to the general surgical risks of infection. There is definite risk which is why we go to great lengths intra and perioperatively to prevent surgical infections. Most facilities have a creditably low incidence of perioperative infections, it is almost unheard of presently for the infection risk to be zero however. ...Read more
Depends on what vessel?
an unbypassed native artery
whatever is thought to be instrumental to the angina symptom
how long since the bypasses?
If the bypases are open and generally perfusing the major coronaries the risk should be quite low.
If not, the usual risks of dissecting, clotting, embolizing a vessel or graft are there.
The general list is;
bleeding, recurrence, stroke. ...Read more
Complications: The worst complication is a leak which occurs 3% of the time nationwide (but about .5% of the time if you go a very experienced surgeon). Bleeding, infection, bowel obstruction, anesthesia complications are others, and these typically occur at 1% or less of the time. It is a safe operation, but go to someone that has done thousands of them. For example, my group has done over 5000. ...Read more
Coronary blockage- bypass and generally improved prognosis are the general results
risks of procedures are being reduced all the time.
But patients are older and bring more intrinsic personal risks.
Risks are dying, bleeding, infection, stroke, recurrence. Over all about 2%. ...Read more
Multiple: Multiple but manageable. The surgical risks are bleeding, infection, heart attack, stroke, and death. All are relatively low. The post surgical issues are graft closure, infection, limb loss, and death. This is not a comprehensive list. Talk to you doctor or vascular surgeon about your concerns. ...Read more
Complicated: A doctor that knows your mother well can advise on whether a carotid stenosis needs to be fixed based on symptoms and severity of stenosis. The choice of surgical endarterectomy versus stenting can be discussed at that time. Results are similar with both methods. She should make sure her insurance carrier will pay for a carotid stent procedure. ...Read more
What are the risks of eecp for hypertensive and diabetic 68 years old male? Is it a good alternative for heart bypass surgery?
Heart disease: Eecp is a therapy to consider when every other effective therapy has been expended. It is not highly effective but can help in this situation. ...Read more
What are the risks and benefits of stenting diseased blood vessels / heart bypass surgery / heart transplant / artificial heart valve transplant?
Way too complex: This question is way too complex for a short text Q&A. Individual patient information is needed to really discuss risks and benefits. This discussion needs to be with a live cardiologist and/or cardiac surgeon. ...Read more
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 more
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?
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 more
Having my period for 2 weeks will not go away really heavy and blood clots I did have gastric bypass surgery a year ago?
Need check up.:
Your gastric bypass a year ago cannot have a direct effect now.
If you are sexualy active you need to go to ER and let them check you out. If you are not sexually active, you need a detailed examination as well as blood work to check your hormones.
Good luck.. ...Read more
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
Can you please explain why coronary and carotid are the first arteries to be affected, not subclavian or others?
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 more
Low and short: When done for the right reasons for chronic sinusitis, sinus surgery (balloon or otherwise) is 90-95% effective at reducing symptoms. Recovery time is shorter (1-3 days) with balloon sinuplasty, and I do this procedure in-office with local anesthesia. Risks are low but similar to any sinus procedure: scarring, bleeding, infection, recurrent disease, eye/brain injury, need for further surgery, etc. ...Read more