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carotid brain artery
Discussion in 'All Categories' started by Aladdin - Jun 10th, 2011 11:52 am.
left carotid artery almostly closed
re: carotid brain artery by Dr Sadhana - Jun 10th, 2011 12:42 pm
Dr Sadhana
Dr Sadhana
Dear Aladdin
carotid artery may be re-opened. The process involved in placing stent via a chronically occluded carotid continues to be associated with increased incidence of stroke. Complete carotid occlusion is generally managed by open surgical treatment called endarterectomy. The unit accustomed to open the occlusion without surgery utilizing a catheter. Occasionally the process is chosen to open a chronically occluded carotid, however the results are almost always uniformly poor. It is not usually wise to subject both carotids to surgical treatment at the same time especially when a person occluded for a long time of time.

For obvious reasons, we attempt to minimize activating your body's clotting and coagulation systems during surgery on blood vessels. I realize your dilemma, and I have often been the attending physician asking exactly the same question to my neurosurgical, cardiac, and vascular consultants on behalf of patients in similar situations. Though it sounds logical to open the closed vessel, repeated clinical experience and literature review shows no practical benefit to re-opening a carotid artery that has been occluded for a long period of your time. Many trials have shown that after patients with chronic total occlusion of carotid artery were surgically re-opened and subsequently restudied, the majority of them had re-occluded their carotid vessel.

With regards
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