Doctor insights on:
When Can I Exercise After Carotid Endarterectomy
Exercise Or Physical Activity (Definition)
Exercise is a physical activity that is completed to maintain or improve health. Benefits of exercise include weight maintenance, improving mood, increasing energy, preventing or controlling chronic diseases, promoting better sleeping, and improving sex life and libido. ...Read more
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 more
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 more
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
Recovery: Typically, people go home the next morning with just the sensation that they have a "stiff neck" rather than a lot of pain. We ask them to take it easy until the follow up visit after which they can usually return to normal activity levels. ...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 more
http://en. Wikipedia. Org/wiki/carotid_endarterectomy.
3-6 weeks: I have had patients return to full activities 3 days later and have never had anyone take more than 6 weeks. Most are fully recovered by 3 weeks. I have done over 2500 carotid surgeries. ...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 more
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 more
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 the 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 more
Yes: In general a carotid endarterectomy is done to prevent a person from having a stroke. There are criteria for symptomatic as well as a symptomatic patient. Either way the purpose of the operation is to prevent a stroke. ...Read more
Prevents, doesn't tx: While it's semantics, carotid endarterectomy doesn't "treat" stroke as much as it's performed to prevent one. Success depends upon experience of surgeon & operating team/hospital. ...Read more
Variable: 1 day to feel better, 6 weeks to full recovery. ...Read more
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 more
No: It will leave a small 3-inch very thin scar which may be difficult to see after six months. ...Read more
I am 68 years old. I have mpv with moderate regurgitation. I also had carotid endarterectomy last year after having tia's. What should I do?
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There is yet uncertainty about the potential benefit of carotid endarterectomy for symptomatic patients with 30%to69% stenosis.NASCET Data Available?
For Carotid Endarterectomy the operation will ideally be carried out within two weeks of Stroke orTIA how important? I 'm 1 year on from Stroke <50%?
Carotid: Carotid endarterectomies are usually done if more than 50% stenosis. Have you had a stroke or TIA before? History of smoking? What.blood thinner are you on? Consult with us to help solve this issue. ...Read more
Surgery?: This question has to be answered in the context of individual high risk patients. In general there has to be a significant benefit to be expected from risking surgery on an end stage anything patient. If perhaps repeated CNS episodes attributable to the carotid are happening and antiplatelet therapy isn't helping, that might be a reason to risk surgery. Considerations need to be individualized ...Read more
If I had Surgery for Carotid endarterectomy could they be done together (as both 50% Occluded)by an experienced Surgeon with high volumes procedures?
First do you need it: First for 76 yr old with no symptoms like TIA 50% occlusion may not be an indication. If indicated the procedure is done one side at a time. Best advise you will get is from your ' experienced surgeon with high volumes ' Speak to the surgeon. ...Read more
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