Stroke after carotid endarterectomy

Common Questions and Answers about Stroke after carotid endarterectomy

stroke

Avatar f tn Hi, Once an ischemic stroke is completed, surgical removal of atheromas or clots (endarterectomy) in an internal carotid artery may be done. Carotid endarterectomy can help if all of the following are present: The stroke resulted from narrowing of a carotid artery by more than 70%.,Some brain tissue supplied by the affected artery still functions after the stroke,The person's life expectancy is at least 5 years.
Avatar m tn I mean to - Carotid endarterectomy , which is - Carotid Artery Surgery. Do you if this is more or less risky compare with stenting ? I am not sure that this is considered as a brain surgery. Is it ? I just want to undersatnd what is less or more risky - Carotid Artery Surgery or Carotid Artery Stenting.
Avatar n tn Carotid endarterectomy typically is not performed after an occlusion for many reasons. First, opening up an occluded artery can result is a brain hemorrhage after the surgery. Second, once a artery is occluded the damage to the brain is usually permenant. If a patient is still having new symptoms in the distribution of the occlusion, then a bypass may be considered. Rgarding the events that occurred in 1999, I am unbale to offer an opinion. I hope he continues to approve with therapy.
Avatar n tn The usual method for treating a carotid artery was/is a endarterectomy procedure. This involves opening the artery and removing the plaque with special tools. However since stents were invented, they seem to be getting used everywhere now. In kidneys for example, the long term outcome doesn't exactly look promising. In carotid arteries they seem to produce more strokes and heart attacks than the usual procedure.
Avatar f tn The major causes of mortality and morbidity for carotid endarterectomy surgery are myocardial infarction, stroke, neurological deficit (transient and permanent), temporary loss of certain cranial nerve function (resulting in notable paralysis to muscles in the mouth, throat, neck and shoulders), permanent vocal cord paralysis and neck haematoma.
6359965 tn?1393488636 I had a mini stroke behind my right eye now I have a headache all the time is this normal?I had a carotid endarterectomy on the right side of my neck dec 20th 2013 ,Feb 18 2014 started having problems with my right eye.I went to the eye dr and he sent me to my dr that did the carotid endarterectomy and he said it was a mini stroke.I have like a gray fog over my eye all the time and like northern lights in the corner.My head hurts bad sometimes and I get nauseated.
Avatar f tn With 75-99% blockade, a carotid endarterectomy would typically be advised. Though the symptoms may not improve with the procedure, this would be required to prevent future episodes. Also endarterectomy cannot be done if the blockade is 100%. I would suggest consulting a vascular surgeon in addition to a neurologist for a detailed evaluation and suggestion of an appropriate management plan. Hope this is helpful. Take care!
Avatar f tn Another important risk factor is smoking. Cigarettes cause the carotid arteries to develop severe atherosclerosis, which can block the blood flow to the brain. Atherosclerosis in general, is accelerated by smoking. Diabetes: Diabetes is another risk factor for developing a stroke. It causes the small vessels to close prematurely. When the small blood vessels close in the brain, small strokes or lacunar strokes may occur. Blood thinner/warfarin:.
Avatar f tn Delaying surgery longer than 2 weeks increases the risk for stroke, because people are more likely to have a stroke in the first few days and weeks after a first stroke or a TIA. The likelihood of complications from carotid endarterectomy varies, depending on the skill and experience of the surgeon.
Avatar m tn My father recently had carotid endarterectomy surgery in hopes to prevent a stroke. We were told the surgery went fine and that he was recovering, but when we went to visit him two hours later, he was suffering a stroke with a swollen tongue so he couldn't tell us what was wrong other than showing us a paralyzed left side.
Avatar f tn Has anyone out here had a Carotid Endarterectomy and if so could you share your experience.
Avatar n tn For instance, did she had a hemorrhagic stroke, and if so, was it on the same side as the carotid endarterectomy? What were the characteristics of her headache - is she a person prone to headaches? One of the possible scenarios for her stroke - particularly it did occur on the same side as the surgical procedure - would a peri-operative embolic event (i.e. a small blood/atheromatous clot) when her carotid was being manipulated.
Avatar n tn For instance, did she had a hemorrhagic stroke, and if so, was it on the same side as the carotid endarterectomy? What were the characteristics of her headache - is she a person prone to headaches? One of the possible scenarios for her stroke - particularly it did occur on the same side as the surgical procedure - would a peri-operative embolic event (i.e. a small blood/atheromatous clot) when her carotid was being manipulated.
Avatar n tn For instance, did she had a hemorrhagic stroke, and if so, was it on the same side as the carotid endarterectomy? What were the characteristics of her headache - is she a person prone to headaches? One of the possible scenarios for her stroke - particularly it did occur on the same side as the surgical procedure - would a peri-operative embolic event (i.e. a small blood/atheromatous clot) when her carotid was being manipulated.
Avatar m tn I go into the hospital on Monday, April 20 for an angiogram (cerebral) which will likely lead to an endarterectomy on my right carotid internal artery. Yesterday, to my surprise the surgeon said there is nothing that can be done to the left side because it is occluded. Why can not anything be done to repair the left internal carotid which is 100% blocked?
Avatar n tn My mother suffered a stroke on March 6, 2007. On March 7, she had a Carotid endarterectomy on her left artery. Her right artery is fully blocked and the surgeon said there is nothing they can do about it. She spent 8 days in ICU after the sugery to get her blood pressure under control. Since this time she has been re-hospitalized two times and rushed to the emergency room 3 times for experiencing rapid TIAs (7 in one day), 5 falls in a day.
Avatar n tn A little more than a year ago I had a carotid endarterectomy and came home from the hospital with a severe headache. Three days later my husband took me back to the hospital and I suffered a stroke. The neurosurgeon who did the surgery to remove the blood and tissue from my brain told my family that there was a large amount of blood. My questions are: 1) Was my brain bleeding for the 3 days that I had the headache?
Avatar n tn Treatment for carotid artery stenosis is often addressed by a vascular surgeon -- who might perform a carotid endarterectomy to remove the blocked areas of the vessel. This is often done (if severe) in patients prior to open heart surgery to minimize the risk of further complications such as stroke.
Avatar n tn He just had a carotid endarterectomy for a 99% blockage and I now wonder if this sympton was a sign of a TIA (I thought he had just gotten into a bad habit of not completing his sentences.
41502 tn?1223517053 People with significant stenosis of one or both carotid arteries are at higher risk of stroke with open heart surgery. Often an endarterectomy is performed in these situations. More recently percutaneous revascularization of carotid stenosis has been performed. If your mother truly has both arteries competley occluded, it will make any procedure she would need extremely high risk.
Avatar f tn My mother is 79 years old and 280 pounds she has high blood pressure and is a diabetic. She had a massive stroke 10 days ago on the right side of her brain. Her right carotid artery was tested and is 100% blocked while she lost control of her left side including the sight in her left eye, her current and pass memory are excellent. I understand surgery is out of the question. She is still in the hospital and they have her blood sugar and blood pressure under control.
Avatar n tn Henry Barnett showed benefit for patients who had 70% or greater narrowing of the carotid artery with symptoms localizing to that side to have surgery rather than medical management alone. The benefit is overall stroke rate and death. The risks of surgery are bleeding in the brain, stroke, infection, and not uncommonly mild facial weakness. Sorry to hear about your father's overall decline. I can understand how you are looking for anything to potentially make him better.
Avatar n tn The risk is increased and becuase of this we often consider a stent to the carotid in a separate procedure prior to surgery or a combined carotid endarterectomy with CABG. I cannot quote specific stroke rates. This would vary by institution and by surgeon. 3. would the Dean Ornish program or the McDougal program (along with medical management) be more suitable for my father's profile? This may be an option but i would recommend a more traditional approach.
Avatar n tn Dear Doctor, I asked a question recently about my 74 y.o father and Carotid Endarterectomy. I now have the proper info. A recent Duplex shows: Left I.C.A completely occluded, right I.C.A 50% narrowed. Left Vertabral reversed, right Vertabral patent. His Neurologist ordered an MRI/MRA but I don't have thos results. 1) would endarterectomy by advised.