17 doctors weighed in:
My father is 80 years old. He has a carotid artery that a screening has shown to be 90% blocked. Should he consider surgery?
17 doctors weighed in

13 doctors agree
In brief: Benefits vs Risks
Generally any blockage greater than 70% or those with symptoms of carotid artery disease should be surgically repaired.
However given your father's age any pre-existing medical problems should be taken into account prior to surgical intervention. A vascular surgeon and your father's primary physician can collaboratively decide if the benefits of surgery outweigh the risks.

In brief: Benefits vs Risks
Generally any blockage greater than 70% or those with symptoms of carotid artery disease should be surgically repaired.
However given your father's age any pre-existing medical problems should be taken into account prior to surgical intervention. A vascular surgeon and your father's primary physician can collaboratively decide if the benefits of surgery outweigh the risks.
Dr. Michael Zadeh
Dr. Michael Zadeh
Thank
2 comments
Dr. Sahba Ferdowsi
Great collaboration. Wishing you'all the very best.
Dr. Arthur Heller
Any history of vascular disease, like a mini stroke (TIA), angina, heart attack, etc, might increase the decision for Rx. Controversy if no symptoms re: best approach to Rx.
Dr. Matt Malkin
Anesthesiology
2 doctors agree
In brief: Depends on health
If he is healthy and active, then this may prevent him from losing that lifestyle due to stroke.
If he has multiple chronic diseases and poor functional status, then risk may outweigh benefit. Before surgery he would need thorough eval. Vascular surgeon and anesthesiologist can advise.

In brief: Depends on health
If he is healthy and active, then this may prevent him from losing that lifestyle due to stroke.
If he has multiple chronic diseases and poor functional status, then risk may outweigh benefit. Before surgery he would need thorough eval. Vascular surgeon and anesthesiologist can advise.
Dr. Matt Malkin
Dr. Matt Malkin
Thank
Dr. Scott Bolhack
Wound care
1 doctor agrees
In brief: Carotid Artery Block
You should obtain at least a couple of opinions related to this great question.
A blockage alone is not necessarily a reason for surgery. Several major issues to ponder: what other morbidities does your father have (would this or any surgery be safe?), has he had any symptoms related to the blockage (strokes, tias?), and what is the expertise (the complication rates) of the surgeon(s) in your area.

In brief: Carotid Artery Block
You should obtain at least a couple of opinions related to this great question.
A blockage alone is not necessarily a reason for surgery. Several major issues to ponder: what other morbidities does your father have (would this or any surgery be safe?), has he had any symptoms related to the blockage (strokes, tias?), and what is the expertise (the complication rates) of the surgeon(s) in your area.
Dr. Scott Bolhack
Dr. Scott Bolhack
Thank
Dr. Michael Korona
Radiology - Interventional
In brief: Talk to doctor
If good function may need stent or surgery.
Do medical treatment as long as possible.

In brief: Talk to doctor
If good function may need stent or surgery.
Do medical treatment as long as possible.
Dr. Michael Korona
Dr. Michael Korona
Thank
Get help from a real doctor now
Dr. Tonga Nfor
Board Certified, Internal Medicine - Cardiology
12 years in practice
507K people helped
Continue
107,000 doctors available
Read more answers from doctors