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Heart Disease (Expert Forum)
Occluded corotid artery
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Occluded corotid artery
by Michael-Ranson, Nov 09, 1997 12:00AM
Re: Occluded corotid artery
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Posted by CCF CARDIO MD - HSB on November 14, 1997 at 14:30:49:
In Reply to: Occluded corotid artery posted by Michael Ranson on November 09, 1997 at 10:58:53:
: : I am a 48 year old male with an occluded corotid artery. I have high blood pressure, being controlled by accupril. I am taking lipitor to control my cholestrol. My question is this..I would like to know if by-pass surgery would lessen my chance of having a full blown stroke. I still have TIA's and the vascular surgeon I see every six months said he would not do the surgery unless he was painted into a corner because I was having full blown strokes. I am in good health other than the artery disease. I am 5'10" and weigh 170 lbs. I eat a low fat diet.
: Thank You,
: Mike Ranson
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Dear Sir:
In order to answer your question, the status of both carotid arteries and intracranial vessels must be determined. Therefore, this information may not apply to your specific situation.
People with total occlusion of a carotid artery may continue to suffer from TIAs. Several mechanisms may be involved, for instance: !) there may be significant disease in the contralateral carotid artery; 2) the intracranial vessels may be significantly diseased; 3) the carotid artery may not be completely occluded and there is minimal flow allowing for embolic phenomena, and /or 4) there may be embolism of clot from above the site of obstruction.
I suggest that you discuss this with your neurologist. If you would be liked to be evaluated at the Cleveland Clinic, an appointment can be arranged by calling 1-
