Which of the following is the most common cause of restenosis following carotid endarterectomy?
Carotid restenosis usually occurs gradually and most often during the first two years following surgery3. The primary cause of restenosis during this time interval is considered to be myointimal hyperplasia, an arterial wall cellular reaction to surgical manipulation.
What neurologic complications can occur after carotid endarterectomy?
Results: Neurologic complications occurred in 16 patients (12%). Ischemic stroke occurred in 6 cases, transient ischemic attacks in 4 cases, acute cerebral hyperemia in one case and four patients suffered from transient cranial nerve palsy.
What is the recovery time for carotid artery stenting?
After surgery, most people can return to normal activities within three to four weeks. Although, many get back to their daily routines as soon as they feel up to it. During the first few weeks of your recovery, some key things to keep in mind include: You may have some soreness in your neck for about two weeks.
What do you watch for after a carotid endarterectomy?
When to call 911 Weakness, tingling, or loss of feeling on one side of your face or body. Sudden double vision or trouble seeing in one or both eyes. Sudden trouble talking or slurred speech. Sudden, severe headache.
Can a carotid artery get blocked again after surgery?
Carotid endarterectomy is not a cure. Your arteries can become blocked again if your underlying condition, such as high blood cholesterol, is not controlled and causes new plaque buildup. Carotid endarterectomy is done in a hospital. You may have general anesthesia and will not be awake or feel pain during the surgery.
Why is my blood pressure out of control after having carotid surgery?
Surgical removal of a carotid plaque causes immediate partial disruption of baroreceptor activity leading to hypertension and increased arterial pressure instability. This may last for several hours or days after surgery99 and may be caused by stripping of sensory nerve endings from the arterial lumen.
What is Hyperperfusion syndrome?
The term hyperperfusion is used to describe the increased arterial blood pressure that is characteristic of the syndrome. If not treated properly, CHS can lead to severe brain swelling (edema), intracranial bleeding, and even death.
What causes a hematoma after carotid endarterectomy?
Haematomas were mainly caused by venous bleeding or capillary oozing. Conclusions: This study showed that neck haematoma is uncommon after carotid endarterectomy, but requires emergency airway rescue and re-exploration.
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