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MBBS, DM(Neurology)
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18 years experience overall
KK Nagar , Madurai
MBBS, MD(Gen.Med), DM(Neurology)
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18 years experience overall
KK Nagar , Madurai
MBBS MD (Neurology), SCE (Neurology) UK
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10 years experience overall
KK Nagar , Madurai
Dysphagia, or difficulty swallowing, can occur after a carotid endarterectomy due to injury or irritation to the nerves and muscles involved in swallowing. However, this is generally temporary and improves with time and proper post-operative care.
The decision to perform surgery for carotid artery blockage depends on individual factors, including symptoms and the risk of stroke. Generally, surgery may be recommended if the blockage is greater than 70% or if there is a history of TIAs or strokes.
Hyperperfusion syndrome is a rare complication that can occur after carotid endarterectomy. It is characterised by excess blood flow to the brain, leading to symptoms like headaches, seizures, and neurological deficits.
Bradycardia, or a slow heart rate, can occur during carotid endarterectomy due to manipulation of the carotid sinus area. However, this is usually temporary and resolves independently after the procedure.
During carotid endarterectomy, the vagus nerve may be temporarily blocked or stimulated to help monitor and protect the vocal cords and prevent damage during surgery.
During a carotid endarterectomy, the surgeon may need to temporarily clamp the common carotid artery and/or internal carotid artery to stop blood flow and safely remove plaque buildup.
The duration of a carotid endarterectomy procedure can vary based on the complexity of the case. On average, the surgery takes about 1 to 2 hours to complete.
The eligibility for carotid endarterectomy depends on various factors, including the degree of blockage, overall health, and individual risk factors. Your doctor will assess if you are a suitable candidate for the procedure.
After a carotid endarterectomy, you will be closely monitored in the hospital for a short period. You may be prescribed medication to help prevent blood clots and manage pain. Following your doctor’s instructions for wound care and attending follow-up appointments is essential.
The recovery time for carotid endarterectomy can vary based on individual factors like overall health and age. However, most patients are likely to stay in the hospital for one to two days after the procedure. Patients are seen to resume normal activities within a few weeks.
Before a carotid endarterectomy, you may need to undergo various tests to evaluate your overall health and assess the severity of the blockage. You may be asked to stop taking certain medications before the surgery and follow specific dietary instructions.
There are two types of carotid endarterectomy: conventional and eversion. In the conventional procedure, the plaque is removed, and the artery is repaired with stitches. In an eversion procedure, the artery is turned inside out, and the plaque is removed before it is sewn back together.
The success rate of carotid endarterectomy is generally high, with a low risk of complications. Studies have shown that the surgery can reduce the risk of stroke, especially for patients with prior transient ischemic attacks (TIAs) or strokes.
A vascular surgeon typically performs a carotid endarterectomy. Vascular surgeons specialise in treating conditions of the blood vessels, including those in the neck.
Carotid endarterectomy is a procedure aimed at removing plaque buildup from the carotid arteries. These arteries are the most important blood vessels in the neck. The procedure helps improve blood flow and reduce the risk of stroke.