Stroke after carotid endarterectomy

Common Questions and Answers about Stroke after carotid endarterectomy


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 1)Why cant a Carotid Endarterectomy be done post occlussion. 2) Does it sound like his care was lacking, particularly in the tia in 1999. I cant understand why he was not considered for a cea or subclavian surgery from the start. Now his doctors say its too late for any surgery.
Avatar m tn My brother was recently hospitalized after suffering a stroke. In the hospital he had another stroke. His doctor told him that both his carotid arteries are blocked and that because of his stroke history and current use of blood thinners he is a "surgery risk", so he will not be able to get stents put in or have the surgery to "clean out his arteries" - can't recall the name of that surgery. So, now what? are there alternative therapies available?
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 Dear Dr, my 77 yar old father is on Simvastatin for CHD and cerebrovascular desease. He has an occluded carotid (L) artery and I am worried about the so called "low flow" situation in the brain as along side this he has left ventricular diastolic dysfunction. I have been told that carotid Endarterectomy is not done on an occluded vessel. I have recently found some web pages indicating that proceedure has been done on the occluded artery more recently. !
1475202 tn?1536274577 So we are all very greatful! Once she regains enough strength she will need a procedure called Carotid endarterectomy to restore normal blood flow. Her memory has been effected since the stroke damaged as much as 30% of her brain but to me she seems normal. Again Thank You!
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 f tn mostly a TIA or a stroke is caused by the narrowing or ulceration of the carotid arteries (the major arteries in the neck that supply blood to the brain). If left untreated, patients with these conditions have a high risk of getting a major stroke in the future. An operation that cleans out the carotid artery and restores normal blood flow is usually performed and is known as a carotid endarterectomy. This procedure has been shown to markedly reduce the incidence of a subsequent stroke.
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.
6359965 tn?1393492236 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 n tn I was so close to having a life threatening stroke!!! Jan 31, 2008. A carotid doppler was done. The vascular surgeon said my RIGHT carotid was 97% occluded and I needed to have the endarterectomy right away. (Left carotid was around 76% occluded) Feb. 6, 2008, that surgery was done. There has not been any more blurred vision, vertigo nor a heart beat, heard inside my head since. I have wondered if its time for me to have the LEFT endarterectomy done.
Avatar n tn my 80 year old mother is looking to fly to veit me in nz, in novmber as my dad has just died but after she booked tickets she went to the docter not at all well.
548668 tn?1394190822 Prior to that treatment, my cholesterol was extremely low due to the genotype HVC I was carrying. After treatment, I suffered from extreme inflammation/bursitis of my arms and hands for a year, which subsided on their own (presumably an after-effect of the immune stimulation?). My cholesterol wasn't monitored (doh); it is now high-normal; I think it may have spiked after the successful interferon and stabilising now.
Avatar n tn I'm almost 82 years old with hemiplegia and 100% blocked left carotid artery.(my stroke was compliments of by-pass heart surgery 13 years ago). I take chelation pills twice daily - don't know if it's why I'm still here, but suspect if you watch your diet and exercise you'll be ok too.
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 n tn To be truthful with you, there is a low, 1-3% chance of stroke during any endarterectomy, however most people come through it just fine and are home within a few days, with total blood flow in the affected artery restored. Senator Edward Kennedy just recently underwent the procedure and was home and feeling fine within a few days. Some people come home the very same day of their surgery.
Avatar n tn Hi All I too had a CAD a month ago which unfortunately resulted in a stroke after a few days of severe headaches. Fortunately no serious damage compared to what it could have been. I have my first scan since the episode tomorrow which hopefully will reveal some healing. I still have the headaches although only mild. One of the biggest issues I am facing are the after effects of the stroke. Numbness, speech and cognitivr stuff. I was on lov enox and now stable on warfarin.
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 My father is 63 and had a major stroke on July 20th 2009. After being administered TPA within 20 minutes of the onset he suffered no long term effect. However the following events bring me to this question. Today is August 3, 2009. 1. Major stroke on July 20, 2009. 2. Released from hospital on July 28, 2009 with blood thinners and released to travel. 3. Travel by commercial airline in the US for about 10.5/hrs with one 1.9/hour stop on July 29, 2009. 4.
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. In such people, carotid endarterectomy may reduce the risk of subsequent strokes.
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.
Avatar f tn Prior to the stent I had been extremely athletic. Even after coronary ischemic attacks which began just before the angioplasty, I passed stress test with flying colors. After the blockage was discovered thanks to a persistent PCP, and the stent inserted, I had chest pain afterwards. Was re-catheterized, all the major arteries were given a clean bill of health, but was placed on a beta blocker.
Avatar n tn I had a left side carotid endarectomy 2 days before Christmas. All of my symptoms started after the surgery, like the day after, the sore throat was there when I woke up in ICU. I saw my family doctor, the surgeon who did the endarterectomy and an ENT locally, all said my symptoms were due to the endarterectomy. The first ENT I saw did a scope of my throat and said all was well. Now I have this doctor saying it's throat cancer.
Avatar n tn She also is terrified of being left alive after a major stroke. She has major obstruction of one of her carotid arteries. I would use my not inconsiderable influence (as a physician) to talk her into surgery, but a good friend of mine just went through this with her mom. She convinced her mother to have the surgery, and her mom died from a stroke on the operating table. She is devastated. I say this not to terrify you, but to commiserate with the dilemma.
Avatar n tn This seems to be the case. Occasionally after a carotid endarterectomy the blood flow is too much for the cerebral vessels to withstand and bleeding occurs, essentially a stroke. The headaches you had after surgery may have been related to the bleed. CT scans are quite sensitive in recognizing blood in the head and would have picked up the hemorrhage if present. Fortunately, you sought medical attention and the appropriate measures were taken to evacuate the blood in a timely fashion.
Avatar m tn I am 56 years old, 2 years post CABG3 and have had a carotid endarterectomy on left side. I lost erectile function about 8 years ago over a gradual decline in firmness. Insulin-dependent DM type 2. Hypertension. On metoprolol. After surgery, I felt great!!! Still do.... I have energy and stamina and able to exercise well for someone my age. Nuclear stress test shows no volumes of my heart not supplied well.... surgeon did an excellent job. However, there is no erection at all.
Avatar n tn However, when performing this type of operation (if it was a carotid operation) ther is a risk of stroke. If he had a stroke, this can be investigated with a MRI of the brain. If he had a stroke the optimal time for recovery is before 6 months. This is not an absolute, but a general observation. To have this properly evaluated he should see a neurologist. The proper treatment and recommendations can then be made. Good luck.
Avatar n tn I assume you are referring to the coretid arteries in the neck?. Carotid endarterectomy is one of the most commonly performed vascular operations, and is a safe and long-lasting treatment. The procedure is to either put to sleep or an anesthesiologist or surgeon can numb your neck area and keep pt awake so one can communicate with the surgeon during the operation. By staying awake, pt may help the physician monitor pt's brain reaction to the decreased blood supply.
Avatar n tn have a brother-in-law that underwent open heart surgery - (5 way-bypass) end of June this year - came out out of fine - on road to recovery, then suffered stroke 6 weeks after operation - after 48 hours, speech, physical movement back not home recovering - was told 60% blockage of the carotid artery - dr's. want to operate, sister is hesitant - I've have heard of chelation therapy on the new york radio - would this help/pros and cons, and % of recovery. Also nutrients that can be given to him.
Avatar n tn A subdural bleed should not be related to carotid endarterectomy surgery, as subdural hematomas are related to venous bleeding. You should speak to your surgeon as the the particular risks of carotid endarterectomy in his hands given the situation with your father. The same should go for the risks with recurrent subdural hematomas. Good luck.