Doctor insights on:
What Is Recovery Like After Carotid Endarterectomy
Depends : Recovery from surgery is quick usually within two weeks unless patient has a stroke then recovery is variable . Stroke could occur from surgery , this ranges from 3% if surgery done for asymptomatic blockage to 5-7% if done for TIA or stroke or even 10% in redo carotid surgery, although most vascular surgeons with good experience has this risk down to less than 1%. ...Read moreSee 1 more doctor answer
Yes: The recurrence rates after endarterectomy depend in a number of factors such as smoking, patch use for angioplasty and on going problems with managing the risk factors of peripheral vascular disease. Women may also be more likely to have recurrent disease. ...Read moreSee 2 more doctor answers
Very: We use the endpoint of stroke to define how effective carotid surgery is. Endarterectomy reduces the risk of stroke from 26% to 9% in patients with high grade stenosis (narrowing) who have had mini-strokes or strokes in the past. In people who have not suffered mini-strokes or strokes but have a high grade stenosis, endarterectomy reduces risk of stroke from 10% to less than 5%. ...Read moreSee 2 more doctor answers
Clearing of Plaque: This is to surgically expose the carotid artery in the neck and to remove the plaque of the diseased artery. Arteries have 3 layers. Plaque / atherosclerosis develops in the inner two layers. The outer layer is the strength layer. These layers peel apart similar to the layers in an onion. Once cleared, the artery is closed using patch to prevent it from scarring down. The goal: prevent strokes. ...Read moreSee 2 more doctor answers
Generally good.: Carotid endarterectomy (cea) generally has a low operative morbidity (complication) and mortality (death), and this is because cea should not be generally offered in patients who are not an acceptable risk and who don't have an adequate life expectancy. Consult with a vascular surgeon to discuss this operation in more detail. ...Read more
Plenty: Most dreaded complication is a stroke, and a minority of these can be lethal. In some patients, bleeding in the surgical bed can lead to a collection of blood/fluid that generate enough pressure to impair airway function, this is a life threatening condition. Heart attacks, pulmonary emboli and arterial dissection can also happen, but fairly rairly. ...Read moreSee 2 more doctor answers
Carotid endarterect: Read this: http://en.Wikipedia.Org/wiki/carotid_endarterectomy.Get a more detailed answer ›
Carotid endarterecto: If you had a carotid surgery then you have physicians associated with that condition who should be available to you to answer any questions you have. Only general advice can be given from out here. ...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
Do your homework: Your local providers are likely excellent. Take a trusted person with you and ask questions. There are many types of providers, some who perform both the carotid stent and surgical endarterectomy. Stents have about 5% peri op stroke rate. Surgical endarterectomy have about 3% peri op stroke rate. Remember to ask what is your stroke risk absent any intervention. ...Read moreSee 3 more doctor answers
Carotid intervention: CEA has lower stroke risk than stent, stent has lower risk of MI and cranial nerve injury. Each suitable at times. Best to go to provider that can do either. CEA generally better for standard risk patients, stent generally best if patient has had neck radiation, tracheostomy, or prior CEA. Can get biased view if provider can only do one or the other. Go to someone that can advise on risk/benefit. ...Read moreSee 5 more doctor answers
Variable: 1 day to feel better, 6 weeks to full recovery. ...Read more
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