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Doctor insights on: What Are The Surgical Options For Blocked Carotid Arteries

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Dr. Hirenkumar Italia
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Artery (Definition)

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


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What are the treatment options for blocked carotid arteries?

What are the treatment options for blocked carotid arteries?

Just depends: There are a lot of options when discussing carotid artery disease. The treatment guidelines are very strict and are based on symptoms and the degree of narrowing found on tests. The options range from observation to placing a stent or surgery to remove the blockage. It is really hard to tell which one is the right treatment until evaluated by a vascular surgeon. ...Read more

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What are the treatment options for coronary artery blockage?

What are the treatment options for coronary artery blockage?

It depends: It depends on the degree of blockage and the symptoms. If the blockage of the coronary artery is >70% and the ischemia is reversible and the patient is symptomatic, revascularization (angioplasty/stent or surgery) is usually recommended, however there are patients have contraindications for intervention and they might be treated only by medications. Treatment is highly individualized. ...Read more

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What are the treatment options for iliac arteries dissection?

What are the treatment options for iliac arteries dissection?

Surgery, stenting ..: Or possibly observation depending on the particulars of the patient and the exact location and size of the iliac artery dissection. Please contact your doctor and discuss this question with them. Consultation with a vascular surgeon and/or an interventional radiologist will be useful to plan the specific options in your case. ...Read more

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What are some of the treatments available for coronary artery blockage?

What are some of the treatments available for coronary artery blockage?

Treatment of CAD: Treatment falls into 3 categories. Medical therapy, angioplasty, and coronary bypass surgery. Medical therapy with Aspirin and cholesterol-lowering medications along with other medications usually forms the basis of treatment with angioplasty (stents) and bypass surgery reserved for those patients who do not respond fully to medical therapy. ...Read more

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What is the non-surgical cure for blocked arteries?

What is the non-surgical cure for blocked arteries?

No cure: Truly there is no cure but we can manage occlusive arterial disease to prevent progression like using anti platelet agents like aspirin, anti cholesterol meds like Lipitor (atorvastatin) , walking , stop smoking . Sometimes endovascular options including balloon angioplasty and stenting is option that is invasive but not like open bypass surgery. ...Read more

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What are the treatments for renal artery stenosis?

What are the treatments for  renal artery stenosis?

RAS: RAS due to atherosclerosis (ASO) more often than fibromuscular disease (FMD) Medical treatment does not alter RAS but can control BP. RAS can progress to occlusion. Controlling ASO risk factors appropriate. Open renal bypass infrequent. Angioplasty/stent more common but controversial. PTA probably Rx of choice for FMD. PTA/stent for ASO if flash pulmonary edema, uncontrolled BP, renal failure. ...Read more

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Supposing your arteries are blocked. What are the options?

Supposing your arteries are blocked. What are the options?

Arterial obstruction: This is a complicated problem and if you have it you need to discuss with your doctor. For everyone diet, exercise, not smoking and a combination of medications are used, for some people surgery or intravascular dilation/stenting procedures are also used, and in the worst cases other steps. ...Read more

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What are the risks and the recovery period for a carotid subclavian bypass?

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

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What are some treatments for blocked renal arteries?

What are some treatments for blocked renal arteries?

Treat renal stenosis: The treatment of a blocked kidney artery is controversial. The 3 ways would be medications, surgery, or arterial stents. There is evidence that all 3 work equally well, even in severe cases, although there are some cases where surgery or a stent may yield a better outcome. However, the risk of surgery or stents is not small, and therefore, a conservative approach with medicine is often best. ...Read more

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What are the risks of atherectomy for coronary artery disease?

What are the risks of atherectomy for coronary artery disease?

Similar to stenting: The risks of rotational atherectomy include a 1% combined risk of stroke, heart attack, death, perforation of the coronary, and emergency heart surgery. These are average risks for a large population of patients. Risks in an individual patient may be higher. ...Read more

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What are the non-surgical alternatives to an open-heart bypass?

What are the non-surgical alternatives to an open-heart bypass?

Stenting: Coronary stent and/or angioplasty, if possible. Medical management, including beta-blockers and nitrates and/or ace inhibitors. There are also off-pump CABG for appropriate candidates as well as "minimally invasive" robot-assisted. ...Read more

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Are there any options for treating a carotid blockage that are safer than carotid end-arterectomies?

Are there any options for treating a carotid blockage that are safer than carotid end-arterectomies?

Possibly Stenting: In experienced hands, the surgery should have no more than a 3 to 5 % complication rate. Stenting has been approved for high risk patients, but a recent study has shown that there is not much difference in the risks between the two procedures. ...Read more

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What are the tests for carotid artery disease?

What are the tests for carotid artery disease?

Duplex ultrasound: First best test is duplex ultrasound . Other test like ct angiogram or mr angiogram could be done . The most invasive but gold standard is conventional arteriography. ...Read more

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What is the surgery called for clogged arteries?

What is the surgery called for clogged arteries?

Angioplasty - Bypass: In angioplasty (potentially less invasive) a thin, high tensile strength folded plastic balloon (with or without a stent) is passed into narrowings & hydraulically inflated using pressures 50 to 250 x's arterial pressure to expand the narrowing. In bypass surgery (more invasive) another vessel (commonly a vein) is sewn into an artery prior to a narrowing and again downstream from the narrowing. ...Read more

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How successful is angioplasty for a completely occluded superficial femoral artery throughout the proximal and mid thigh? What are the alternatives?

How successful is angioplasty for a completely occluded superficial femoral artery throughout the proximal and mid thigh?  What are the alternatives?

Angioplasty: This sounds like a lesion that is too big to be angioplasted. Most likely need surgery but discuss with your Dr. to see what success they are having in your area. Stop smoking and get cholesterol down by diet and meds. ...Read more

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What surgeries are done for carotid stenosis?

What surgeries are done for carotid stenosis?

Endarterectomy: Endarterectomy is the most common, done with a small incision in the neck and the carotid artery plaque is removed and the artery is sewn back up with a patch to keep it from narrowing. The second more recent treatment is carotid stenting which is usually done through the femoral artery with catheters and guide wires. Both procedures have risks and should only be done for severe disease. ...Read more

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What are the advantages and limitations of coronary artery bypass surgery?

Survival advantage: The advantages include relief of chest pain, prevention of heart attack and improving survival. The limitations include risks of surgery, pain and recovery time. ...Read more

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Could carotid arteries be replaced if they are to occluded for surgery carotid endartectomy?

No: If they're occluded, they're gone and whatever damage was going to happen, happened. ...Read more

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What are the signs that your carotid artery is clogged?

What are the signs that your carotid artery is clogged?

Carotid Stenosis: Signs of Carotid Artery Stenosis are Bruit, TIA or Stroke. The symptoms of a TiA may include sudden weakness or numbness in the face or limbs, often on just one side of the body, inability to move one or more of your limbs, trouble speaking or understanding speech, sudden trouble seeing in one or both eyes, dizziness or loss of balance, sudden, severe headache with no known cause. ...Read more

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Carotid Arteries (Definition)

The carotid arteries start in the chest and progress up the sides of the neck. About mid neck they split and one branch supplies blood to the face the, the other continues without branches into the skull and supplies ...Read more