How long are you in the hospital after carotid artery surgery?
You can expect to stay in the hospital for about 1 to 3 days, including 1 day in the Intensive Care Unit (ICU). During that time in the hospital, you will need to lie flat and not move your head too much. You may find that your neck aches, and this may last for up to 2 weeks.
What are the side effects of carotid artery surgery?
Some possible complications of carotid endarterectomy include:
- Stroke or TIA.
- Heart attack.
- Pooling of blood into tissue around the incision site causing swelling.
- Nerve problems with certain functions of the eyes, nose, tongue, or ears.
- Bleeding into the brain (intracerebral hemorrhage)
- Seizures (uncommon)
How serious is a carotid artery surgery?
CEA is considered a reasonably safe procedure that can greatly reduce the risk of stroke if you have carotid artery disease. The procedure does carry some risk of stroke or even death. Other diseases like diabetes can also complicate the procedure.
How long does it take the swelling to go down after carotid artery surgery?
It takes 2-3 weeks for the swelling to go away. No ointments, lotions, creams or bandages should be applied to the incision. area, they will fall off. After the first 2-3 days they will begin to loosen, and can be gently removed over the first week when you shower.
Are you awake during carotid artery surgery?
Carotid endarterectomy is performed with local anesthesia, so you are awake during the procedure. It is easier for the doctor to monitor blood flow to the brain when you are awake, which helps him or her determine whether a tube called a shunt is needed.
Are headaches common after carotid artery surgery?
Headaches: Headaches are common after carotid surgery. However, headaches can also be a sign of increased blood pressure, which can be dangerous in the days following your procedure.
Should I have carotid artery surgery?
When is surgery recommended? The National Institute for Health and Care Excellence (NICE) recommends that people who have had a stroke or TIA and have a moderate or severe stenosis should have a carotid endarterectomy. You should be assessed within a week of the start of your stroke or TIA symptoms.
What are the restrictions after carotid artery surgery?
You may have some soreness in your neck for about two weeks. You may need help with preparing meals, housekeeping and shopping. DO NOT drive until the incision is healed (so you can turn your head without discomfort). Prepare to experience some numbness along your jaw and near your earlobe.
Is carotid endarterectomy a high risk surgery?
The range of possible points was from 0 to 27, with an associated range in risk from 2.7% to 78.3%. High-risk CEA was defined as >25.2%, this is the rate of stroke or death as described in the North American Symptomatic Carotid Endarterectomy Trial for medically managed symptomatic patients with moderate stenosis.
How will I feel after carotid surgery?
The stitches will be removed 7 to 10 days after surgery, or you may have stitches that dissolve on their own. You may feel more tired than usual for several weeks after surgery. You will probably be able to go back to work or your usual activities in 1 to 2 weeks.
Can you live with only one carotid artery?
A network of blood vessels at the base of the brain, called the circle of Willis, can often supply the necessary blood flow. Many people function normally with one completely blocked carotid artery, provided they haven’t had a disabling stroke.
How big is the incision for a carotid endarterectomy?
The length of the longitudinal skin incision varied from 0.8 to 3.5 inches (average, 1.4 ± 0.5 inches.
What percentage of carotid stenosis requires surgery?
Surgery is best for most patients with symptoms: Carotid endarterectomy should be strongly considered for symptomatic patients with 70 to 99 percent blockage in the carotid artery. It also should be considered for those with 50 to 69 percent stenosis.
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.