Carotid Endarterectomy and Stent
Carotid Endarterectomy and Stent Stroke & Related Disorders Brain Institute OHSU
You will be asked to sign a consent form that gives your permission to do the procedure. Also, patients with kidney failure or other kidney problems should notify their doctor. If you have: Carotid artery disease, also called carotid artery stenosis, occurs when the carotid arteries, the main blood vessels that carry oxygenated blood to the brain, become narrowed.
Pain medicine will be administered.
There are two procedures used to treat carotid artery disease. If you smoke, you should stop smoking as soon as possible prior to the procedure.
Your doctor will explain the procedure to you and offer you the opportunity to ask any questions that you might have about the procedure. What are carotid endarterectomy and carotid angioplasty with stenting? Procedures may vary depending on your condition and your doctor's practices.
High risk conditions under which CAS may be considered include, but are not limited to, the following: Because of the potential for clots emboli to dislodge from the plaque into the circulation of the brain and possibly cause a stroke, there are now devices called embolic protection devices EPD being used during CAS.
The flow rate can be measured with transcranial Doppler in the middle cerebral artery. Both carotid endarterectomy and carotid angioplasty with stenting CAS require a stay in the hospital. Once the catheter is in place, dye will be injected through the catheter in order to see the narrowed area s. The incision in the neck will be sutured together.
Carotid Endarterectomy Cooper University Health Care
Dwell time for a cerebral protection device normally lasts minutes and then the stent is placed. First, you have to detect hyperperfusion. After the specified period of bed rest has been completed, you may get out of bed.
This helps you remember to keep your leg straight. However, you will remain awake, but sleepy, during the procedure. Once the stent is in place, the angioplasty catheter is removed.
VEITHSymposium: A Look at Complications in Carotid Artery Stenting Cath Lab Digest
You may feel some stinging at the site for a few seconds after the numbing medication has been injected. The content provided here is for informational purposes only, and was not designed to diagnose or treat a health problem or disease, or replace the professional medical advice you receive from your physician. Conte, M. Under direct visualization, the artery is opened and the plaque removed. Less than 50 percent of your artery is blocked: The drain is a small tube that is inserted in the neck area to drain any accumulation of blood into a small palm-size suction bulb.
When you are working with an open-cell stent design in a carotid artery that has a lot of bends, the retrieval catheter can hook on the struts of the stent.
Tell your doctor about all medications you are taking, including prescription and over-the-counter non-prescription medications and any herbal supplements or vitamins. A sterile bandage or dressing will be applied.