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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Carotid Endarterectomy Advisable While Having Hypertension?

Hello sir,dis s dr..rajkumari.my mom had an attack of cva 2 wks back.nw she recovered from dat.we did carotid doppler it shows there s >70% stenosis of ICA. she s 50yrs old she is hypertensive on treatment but not a diabetic.can we go for carotid endarterectomy for dis
Wed, 19 Apr 2017
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Pulmonologist,  's  Response
hello
thanks for posting here.
The CVA she had is due to internal carotid artery disease she is having. So you have to treat the cause. So the options are a carotid angioplasty or carotid endarterectomy. I cannot comment why carotid artery angioplasty is not offered as an option to her. May be her carotid disease is quite severe and diffuse. So please enquire about feasibility of angioplasty which is comparatively a safer and comfortable procedure.
If not feasible, then you can go ahead with carotid endarterectomy. she will do well after that. there is no contraindication to perform carotid endarterectomy in a patient with hypertension.
thank you.
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Is Carotid Endarterectomy Advisable While Having Hypertension?

hello thanks for posting here. The CVA she had is due to internal carotid artery disease she is having. So you have to treat the cause. So the options are a carotid angioplasty or carotid endarterectomy. I cannot comment why carotid artery angioplasty is not offered as an option to her. May be her carotid disease is quite severe and diffuse. So please enquire about feasibility of angioplasty which is comparatively a safer and comfortable procedure. If not feasible, then you can go ahead with carotid endarterectomy. she will do well after that. there is no contraindication to perform carotid endarterectomy in a patient with hypertension. thank you.