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Dr. Andrew Rynne

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Suggest treatment for blocked carotid arteries

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Dr. Priyank Mody

Cardiologist

Practicing since :2009

Answered : 909 Questions

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Posted on Wed, 8 Mar 2017 in Brain and Spine
Question: My Boyfriend is 85 years old they found his Carotid Arteries are blocked one is 100% and the other is 70% he has stage 111 Chronic Kidney Disease ,Hyperlipidemia, What are his chances surviving Endarterecetomy . I am his Agent he appointed me through notary I am so confused because none has helped with diet I have learned it all on my own we have been together 38 years I am not in denial I know he won't be here forever please help
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Answered by Dr. Priyank Mody 1 hour later
Brief Answer:
Endarterectomy would be risker .Medical management is a reasonable option

Detailed Answer:
Hello I am Dr. Mody and I would be addressing your concern.
It's a complex discussion for this forum and the decision depends on individual risk of your boyfriend after through evaluation and local expertise .
I would help you with some decision making .
1) The 100 % blocked site requires no treatment
2) When one side is totally occluded other side is 70 % blocked , there are higher chances of stroke in 70 % side , nearly double .
Carotid endarterectomy is a feasible option here . however the perioperative risk is higher .
Chances of death is 4 to 5 % , though it may vary based on different clinical setting .
However even when endarterectomy is risker, it's still a better option than just medical management with improved short and long term outcome .
3) If risk is higher , carotid artery stenting is a very good alternative in his case , do discuss the same with your doctor . just the usage of XXXXXXX should be minimum considering his chronic kidney problem
4 ) By all means he should be put on medication statin and anti platelets forms the corner stone .
5) No modifications in diet chances short term outcome in his case . rather an healthy diet should be the best way forward.

Hopefully I could help .
Regards Dr. Mody
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