What are the risks in an endarterectomy, for woman with stenosis at 80% of the right carotidis? admin Posted on Posted in Cardiology, Medical Questions, Surgery 4 Comments Tagged with endarterectomy for stenosis Female , 39 years old. What are the risks in an endarterectomy for a 39 years old women (who is overweight) With stenosis at 80% of the right carotidis. No symptoms. Diabetes and high blood pressure
Generally the The risks of carotid endarterectomy include:
High blood pressure.
Nerve damage that could cause serious problems, like trouble swallowing.
Bleeding in the brain.
In my opinion. You should keep it the last solution after trying life style modification and losing extra cholesterol and weight.
Walking and stop smoking if you do.
The chances of stroke may decrease after the procedure but if you did not already had a stroke or TRansiet ischaemic attack you should try conservative first ..
Risks of endarterectomy range from haemorrhage or stoke to meningitis (infection )
Also risks of not having endarterectomy done are stroke and sever headaches
I have a pressing question , how did you know you had carotid stenosis if you have no symptoms?
You need to understand why this happened otherwise recurrence will be quick
Also i can not feel at liberty of saying you can leave an 80 % stenosis if it is asymptomatic without an endarterectomy
If you could tell me the stenosis composition (calcium, fibrous or fats)
I can give you a better answer to your question ,also your calcium ,D dimer , LDL, HDL , heart and liver conditions will be helpfull
the risks include those due to the stenosis and those due to the endarterectomy itself.
stroke,cerebro vascular insufficiency,migrianal attacks etc.
chelation therapy is a better option as compared to surgical treatment.
I do believe that you have no other option except CEA
Its risk is like the risk of complications like any other surgical procedures liks infection, nerve damage….etc
But let me tell you that Stroke which is the worst to happen after surgery ij about 2-3 % of pts, those who do not undergo the surgery will have stroke with way way higher incidence,
And i think cardiovascular surgeons are now well trained for such surgery