Anyone have endecterctonomy procedure for carotid artery blockage?
I have 90% Carotid Artery blockage. Doctor was unable to place Stent due to high risk. Is Carotid Endarterectomy good and safe alternate to Stenting.
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I underwent two carotid Endodarectomies this past year about six weeks apart. I went to both a Vaso Surgeon in my hometown and Mayo Clinic in Arizona. I have read a lot prior to the surgeries and found that carotid Endodarectomy was a better alternative to stenting. Both the Boise Office and Mayo Clinic agreed it was the best option. I had greater than 90% blockage and very close to 100. I came out of the Surgery very well ( knock on wood) and I’m doing well 7 months postop. I do have two pretty long incisions on both sides of my neck; however, my Surgeon put it in a very good place so that it almost looks like a wrinkle unless you look very closely. I also had a bovine heart patch in both sides so they will be monitoring that as well. I take no medication except what I was taking prior, which was Cholesterol meds, blood thinners, etc. I had a TIA two days before my surgery where my left eye was like a shade pulling down over the Vision, which is very connected to carotid artery and is a warning sign of a full stroke. I know of some people who never get their vision back. Mine only lasted two or three minutes, luckily.
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1 ReactionThank you so much for very detail informations. I have very identical situation. After failed stenting procedur, I was looking for opinions about next best option of endodarectonomy.
Thank you for sharing your experience.
I appreciate your opinion
I am from the Boise Idaho area and had a great surgeon here. If you need a name let me know.
I was told too risky to do either procedure (this was right after the strokes) bc I didn’t have symptoms. But my right CA is 100% occluded. Do they do the surgery later after the clot has “organized” into basically scar tissue?
@sb226 - welcome to Mayo Clinic Connect. Since you talked about an occluded carotid artery, I'm including this Mayo Clinic information on carotid artery disease that may be useful:
- Carotid artery disease https://www.mayoclinic.org/diseases-conditions/carotid-artery-disease/symptoms-causes/syc-20360519
Your question on your 100% occluded carotid artery and timing of surgery actually sounds like a great question for your surgeon or your neurologist. Are you comfortable asking one of them?
Hello, I am Martyn I am here in United Kingdom. My home is just South of Manchester town called Macclesfield
I had a left carotid endarterectomy in June this year. The incision has healed well. I have still got numbness down from the left ear to level with the epiglottis.
I am Confident that the specialist cleared a lot of debris, to which he referred that I must have had a very good time earlier in life. I did!
I played quite a lot of golf over the years, prior to which. I was a very good field hockey player.
The problem I have is if I swing the golf club it feels that the area around the incision swells. My wife keeps looking and is always saying I am imagining.
So, if you have the procedure, keep going
If you have other questions please come back
@mart7469
Than you for information. Were you symptomatic or asymptomatic before surgery? I have >90% blockage and doctor attempted to perform stanting procedure. They had to abort surgery due high risk. So I am wondering the optional procedure Endarocernomy may be suitable for me. I will be discussing with my doctor on my foffow up meeting.
Any additional information will be greatly appreciated.
Good evening,
I had a TIA two weeks previous, I was in hospital for 3 days and recovered well. However, the two brain scans showed I had 80% block in the left carotid and just short of 50% in the right
So the info was sent to vascular in an adjacent Wythenshawe hospital. Their head of surgery told me to have the endarterectomy to prevent further strokes.
So my recommendation is do not hesitate and discuss with vascular to have the procedure
They have safeguards. They may want to introduce bovine insert to the artery. Don’t worry you will not Moo to much! You will not know
I wish you well
@sb226
From what I understand if it is 100 percent they have a hard time doing the procedure but you definitely want to contact a Vasosurgeon and if there is only one side completely occluded maybe the other side would be eligible for the surgery. Great idea to check with a surgeon.
Tami
@tamerahunt
Thank you so much. I will discuss with neurosurgeon during my followup meeting.