8 doctors weighed in:

I have a 100% occluded carotid artery. When should I consider surgery?

8 doctors weighed in
Dr. Alan Koslow
Surgery - Vascular
3 doctors agree

In brief: Never, most of time

Total occlusion is rarely treated and if treated it is with temporal artery to middle cerebral artery bypass (done very very rarely).
Just follow stenosis of other side.

In brief: Never, most of time

Total occlusion is rarely treated and if treated it is with temporal artery to middle cerebral artery bypass (done very very rarely).
Just follow stenosis of other side.
Dr. Alan Koslow
Dr. Alan Koslow
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Dr. William Purtill
Surgery - Vascular
1 doctor agrees

In brief: Don't

If the artery is 100% occluded surgery or a stent is not neccessary or possible.
The artery when 100% blocked occludes up to the brain and cannot be opened up. The risk of carotid blockage is when it is severely narrowed ie >80%; then a piece of plaque can break off, lodge in the brain and caues a stroke. If the artery is 100% blocked nothing can break off. The other arteries should be checked.

In brief: Don't

If the artery is 100% occluded surgery or a stent is not neccessary or possible.
The artery when 100% blocked occludes up to the brain and cannot be opened up. The risk of carotid blockage is when it is severely narrowed ie >80%; then a piece of plaque can break off, lodge in the brain and caues a stroke. If the artery is 100% blocked nothing can break off. The other arteries should be checked.
Dr. William Purtill
Dr. William Purtill
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Dr. Michael Korona
Radiology - Interventional

In brief: Depends

On the stenosis on the other side.
The one completely blocked can't be fixed normally. Keep eye on other side with yearly ultrasounds. Scan earlier of you are having symptoms. Probably need to be on aspirin.

In brief: Depends

On the stenosis on the other side.
The one completely blocked can't be fixed normally. Keep eye on other side with yearly ultrasounds. Scan earlier of you are having symptoms. Probably need to be on aspirin.
Dr. Michael Korona
Dr. Michael Korona
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Dr. Patrick Wyffels
Critical Care

In brief: Look - opposite side

A carotid artery that is 100% blocked ( chronically ) is not treated.
Rather careful monitoring of the opposite carotid is done & when significantly narrowed ( > 60% ) or causing symptoms from material going downstream ( TIA or stroke ), it should be treated. Open surgery is the gold standard and needs to be done by a surgeon with experience and low complications (stroke, heart attack, bleeding).

In brief: Look - opposite side

A carotid artery that is 100% blocked ( chronically ) is not treated.
Rather careful monitoring of the opposite carotid is done & when significantly narrowed ( > 60% ) or causing symptoms from material going downstream ( TIA or stroke ), it should be treated. Open surgery is the gold standard and needs to be done by a surgeon with experience and low complications (stroke, heart attack, bleeding).
Dr. Patrick Wyffels
Dr. Patrick Wyffels
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