11 doctors weighed in:

Can a person have prophylactic carotid endarterectomy?

11 doctors weighed in
Dr. Khashayar Salartash
Surgery - Vascular
4 doctors agree

In brief: 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 patients. Either way the purpose of the operation is to prevent a stroke.

In brief: 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 patients. Either way the purpose of the operation is to prevent a stroke.
Dr. Khashayar Salartash
Dr. Khashayar Salartash
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2 doctors agree

In brief: Yes / no

Depends on degree of disease.

In brief: Yes / no

Depends on degree of disease.
Dr. Evert Eriksson
Dr. Evert Eriksson
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Dr. Oliver Aalami
Surgery - Vascular
2 doctors agree

In brief: Depends

This all depends on what your definition of prophylactic means.
If you mean "asymptomatic", then yes. We recommend a carotid endarterectomy for people who have a narrowing of >80% even if they have not had any symptoms. If you have carotid stenosis of <80%, the medical management with aspirin/plavix and a statin (cholesterol lowering med) is sufficient. An annual ultrasound for surveillance also.

In brief: Depends

This all depends on what your definition of prophylactic means.
If you mean "asymptomatic", then yes. We recommend a carotid endarterectomy for people who have a narrowing of >80% even if they have not had any symptoms. If you have carotid stenosis of <80%, the medical management with aspirin/plavix and a statin (cholesterol lowering med) is sufficient. An annual ultrasound for surveillance also.
Dr. Oliver Aalami
Dr. Oliver Aalami
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Dr. Michael Korona
Radiology - Interventional

In brief: Yes

Once narrowing over 80%.

In brief: Yes

Once narrowing over 80%.
Dr. Michael Korona
Dr. Michael Korona
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