8 doctors weighed in:
If I have a carotid end-arterectomy, will my carotid arteries be fixed forever?
8 doctors weighed in

Dr. Roger Frankel
Neurosurgery
4 doctors agree
In brief: No
The underlying atherosclerotic disease that caused the narrowing in the first place will continue, and can cause recurrent stenosis(narrowing).
This can be somewhat controlled with diet, exercise, medication and not smoking.

In brief: No
The underlying atherosclerotic disease that caused the narrowing in the first place will continue, and can cause recurrent stenosis(narrowing).
This can be somewhat controlled with diet, exercise, medication and not smoking.
Dr. Roger Frankel
Dr. Roger Frankel
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1 comment
Dr. Michael Korona
If stenosis comes back, it can usually be treated with a carotid stent.
Dr. Peter H'doubler
Surgery - Vascular
1 doctor agrees
In brief: Most likely yes
There is no guarantee of this however if you don't smoke, take Aspirin and/or Plavix (clopidogrel) and take a statin following cea, it is very unlikely that you will have significant recurrence.
Carotid endarterectomy is a very durable operation, with a better long term track record than just about any vascular procedure. Make sure you have an experienced vascular surgeon perform the operation.

In brief: Most likely yes
There is no guarantee of this however if you don't smoke, take Aspirin and/or Plavix (clopidogrel) and take a statin following cea, it is very unlikely that you will have significant recurrence.
Carotid endarterectomy is a very durable operation, with a better long term track record than just about any vascular procedure. Make sure you have an experienced vascular surgeon perform the operation.
Dr. Peter H'doubler
Dr. Peter H'doubler
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Dr. Estrada Bernard
Neurosurgery
In brief: Not necessarily
The purpose of a carotid endarterectomy is to reduce but not necessarily completely eliminate the risk of stroke.
This is not in isolation but together with lifestyle and medical management of issues such as high blood pressure, hyperlipidemia, diabetes and cigarette smoking. However, despite the best efforts reaccumulation of plaque could still occur.

In brief: Not necessarily
The purpose of a carotid endarterectomy is to reduce but not necessarily completely eliminate the risk of stroke.
This is not in isolation but together with lifestyle and medical management of issues such as high blood pressure, hyperlipidemia, diabetes and cigarette smoking. However, despite the best efforts reaccumulation of plaque could still occur.
Dr. Estrada Bernard
Dr. Estrada Bernard
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