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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is arotid angilapsty or carotid endarterectomy better for treatment of Ischemic stroke?

Dear Sir, Please Help, I have required some information regarding brain Ischemic stroke. Please tell us is it possible that 100% blockage of Right side Artery of neck open by any surgery or carotid angioplasty. Actually My father has brain stroke 20 days back (Two times -24 April and 29 April) and his artery of Left side block 90% and right side 100% as per CT angio report. he is also patients of diabetes and high blood pressure and his age 58 years old.   Please tell which type of treatment is sutatible for patient. Please also informs operation is required or not, if required which type of operation required (Carotid angilapsty or carotid endarterectomy).   
Fri, 27 Mar 2015
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General & Family Physician 's  Response
Hi welcome to hcm
I understand your query and concern.
Carotid endarterectomy is an invasive ,difficult and needs anaesthesia used in treatment of >75% blockage and >75 years age group.Carotid angioplasty is a trending,advancing,non invasive procedure with less hospitalisation and mild sedation.The outcome of both procedures being almost same.He needs to take Anti platelet drugs like Clopilet and ecosprin daily post procedures for good outcome.So do not worry.Angioplasty is non invasive procedure and you can go with that procedure.But anyways leave the decision to your treating doctor.Monitor his blood pressure,heart rate regularly.Avoid stress and anxiety.Consult your surgeon for expert management.
Post your further queries if any,
Thank you.
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Is arotid angilapsty or carotid endarterectomy better for treatment of Ischemic stroke?

Hi welcome to hcm I understand your query and concern. Carotid endarterectomy is an invasive ,difficult and needs anaesthesia used in treatment of 75% blockage and 75 years age group.Carotid angioplasty is a trending,advancing,non invasive procedure with less hospitalisation and mild sedation.The outcome of both procedures being almost same.He needs to take Anti platelet drugs like Clopilet and ecosprin daily post procedures for good outcome.So do not worry.Angioplasty is non invasive procedure and you can go with that procedure.But anyways leave the decision to your treating doctor.Monitor his blood pressure,heart rate regularly.Avoid stress and anxiety.Consult your surgeon for expert management. Post your further queries if any, Thank you.