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Symptomatic internal carotid artery stenosis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hello Dr . my wife is suffering from blockage of internal carotid artery.what is the treat available . Can Dr XXX help
Doctor :   hello Mr . AAAAAAA
Doctor :   I Am Dr. XXXX
User :   Hello Sir have u seen my query
Doctor :   yes
Doctor :   I am looking at literarure
User :   ok Sir
User :   Sir this blockage is on right side , & due to this she has loose of vision of right eye
Doctor :   OK
Doctor :   How much blockage she has?
User :   its 80 to 99% as per doppler report
Doctor :   Because she is symptomatic and steno sis is higher I recommend her to have Carotid Endarterectomy
User :   what is the risk invovled & what about stenting option ,which one is better
Doctor :   Ok
Doctor :   Regarding risks
Doctor :   ipsilateral stroke in 2 years was 9% with surgery and 26% with medical management.1
Doctor :   Did you get it
User :   i have heard about Dr. XXXX Cardiologist from XXXX , i have heard he treats blockages of heart with medicines , & no surgery. Can he be of some help
Doctor :   Can clearly describe it
User :   Can she be treated just with medicines , & whom should i consult for this.
Doctor :   does she has any medical problems
User :   no
Doctor :   Any time she any weakness in legs or arms
User :   no
Doctor :   She only had vision problem
Doctor :   right!
Doctor :   Her only problem is carotid stenosis
User :   yes sir & sometimes pain near left eye brow
Doctor :   That is not related to stenosis
User :   ok sir
Doctor :   Even if the cholesterol is normal she can take medicines which control cholesterol
Doctor :   they are called statins
Doctor :   You can request your MD for prescription
Doctor :   But I still recommend her to have surgery by good physician
User :   can u recommend some Dr. & can Dr. XXXX , Cardiologist from XXXX be of any help
Doctor :   Let me search
Doctor :   Which hospital he works for?
Doctor :   it looks like he is a cardiologist
Doctor :   you need to work with Cardiovascular surgeon
Doctor :   NO doubt \ he is very well known physician in XXXX
Doctor :   The chances of stroke are decreased by surgery
User :   he was working forXXXnow has own clinic , very old person .
Doctor :   Complications are less with experienced surgeon
Doctor :   OK
Doctor :   He is a Cardiologist
Doctor :   You need to work with Cardio Vascular surgeon
Doctor :   Did you consult this cardiologist
User :   ok sir , can pl. suggest one
User :   i am planning to see him
Doctor :   Ok
User :   Hello sir can u pl. suggest some Cardio Vascular surgeon
Doctor :   But th
Doctor :   *the XXX0
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Doctor :   Did I answer your questions?
User :   yes sir
Doctor :   With surgery there are few risks but benefits in this case are high
User :   ok sir
Doctor :   You can discuss with the vascular surgeon and make your decision
Doctor :   This is my opinion
Doctor :   Thank you for consulting
Doctor :   Bye for now
User :   thank u sir
Doctor :   You welcome
Doctor :   Take Care
Doctor :   Bye
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