Yes. The main nerve vagus runs in the surgical field and we try to protect it. The vagus gives off the recurrent laryngeal to the voice box. Cautery, pressure, cutting the vagus will cause a problem.
Nerve. Yes it is a possibility due to selling more common with surgery on both sides.
I had carotid artery surgery 3months ago. A breathing tube was used. My voice is hoarse and weak. I have a cough. Vocal cords partially work. Help?
Partial means? Does only one work or does the operated side not work and the non operated work? Have you had a stroboscopic laryngoscopy to evaluate the cords to rule out a vocal nodule. A visit to an ENT or laryngolgist would be helpful.
Long enough. At this point, you should see an ent. You may have an issue with vocal cords that should be evaluated.
You need ENT. Ent needs to scope to evaluate cord function.
Voice after CEA. Have your doctor get your vocal cord checked. Sometimes nerve fibers to the vocal cord on the side that was repaired can be injured. Ent docs may have some things they can do to help out if the vocal cord is involved.
Patience. Sometime there may be damage to the vocal cords or their nerves with carotid surgery. This usually gets better in 3-6 months. You should see an ENT if not done already and discuss how long to wait. IF the vocal cords do not completely return to normal a procedure can be done to help you.
Rumors exist. There is definitely evidence that the use of statins reduces the incidence of strokes and heart attacks. There have been isolated reports of carotid plaque (narrowing) shrinking with the use of statins but this has not been found true for everybody. Most people agree that statins work by "stabilizing" the plaque and preventing it from rupturing and causing a stroke. This is a hotly debated topic.
Yes. They can help stabilize the plaque. Take Aspirin if prescribed. Control blood pressure. No smoking. If treatment needed check to see if you need surgery or stent.
Yes. Reducing cholesterol may prevent plaque formation.
Carotid for stroke. Mostly because the artery has plaque and that can become loose and cause a stroke.
Unusual. Typically carotid artery disease causes stroke or TIA by embolic phenomena where a plaque rupture induce clots that travels to the brain. Due to extensive blood flow to brain from two carotid arteries and two vertebral arteries, it's unusual for chronic occlusion in one artery to cause symptoms but it can especially with more proximal occlusion, this can be corrected with bypas surgery or stent.
Controversial. Age by itself is not a contraindication for carotid artery surgery. More important are that person's risks, such as heart disease and such. A more interesting question is whether or not one would benefit from carotid artery surgery, and this is a very controversial topic within my field. There is little to suggest there is an absolute age cutoff, however. Discuss with a vascular surgeon.
It depends. It depends on the functional status of the patient. I have done carotid surgery on a 96 yo who was highly functional. Overall the incidence of stroke is slightly higher but still very low. What also has to be considered is whether the patient is symptomatic or not.
See below. Carotid endarterectomy is a very safe procedure when performed by an experienced vascular surgeon. That said, complications that can occur duing the procedure include neurological injury, cranial nerve injury, bleeding and complications of anesthesia. These are all quite rare but can occur. Never be afraid to ask the surgeon what his/her complication rate is!
Yes. Doing stenting after carotid surgery is relatively common. It is done do avoid the relative increased consequences of reoperative surgery such as cranial nerve injury and stroke as compared to primary operative surgery.
Yes. Usually for re-stenosis most surgeon will perform stenting if indicated instead of redo surgery although no true benefit of stenting over surgery in these cases. In acute sitting, yes stenting is being done to repair a post carotid surgery flap or dissection.
Yes. It can be done in the right situation. Your physician can help you asses your options.
Yes. Is routinely done if there is a question of recurrent narrowing of artery or anatomical issue.
Common. Early after surgery, if there I recollapse of vessel, stents can open vessel. If surgery was performed long ago, and stenosis returns, stents can open vessel again. See radiologyinfo. Org for carotid stents.
Good indication. Carotid stent placement is a good indication for someone who has already underwent a carotid endarterectomy.
A "knot".? If you're feeling a "knot" in the area of the surgery, it's probably not a swollen "gland" (lymph node), it's probably sutured tissue that you're feeling.
If you have. Restenosis of your carotid artery, then carotid stenting may help. Like a heart cath access is obtained into the artery at the groin. Catheter deploys a protection device, which looks like a small umbrella, into the artery. Stent is deployed and dilated with a balloon. Devices are then removed. Usually home next day. Make sure doctor has a lot of experience which will make the procedure safer.