What are complications of carotid endarterectomy?
What are complications of carotid endarterectomy?
Perioperative complications of carotid endarterectomy include stroke, myocardial infarction, and death, and postoperative complications are cranial nerve injuries, wound hematoma, hypertension, hypotension, hyperperfusion syndrome, intracerebral hemorrhage, seizures, and recurrent stenosis.
What are the surgical indications for carotid surgery?
Your vascular surgeon may recommend you have a carotid endarterectomy if you have: A moderate (50-79%) blockage of a carotid artery and are experiencing symptoms such as stroke, mini-stroke or TIA (transient ischemic attack). A severe (80% or more) blockage even if you have no symptoms.
What should you assess after carotid endarterectomy?
Assess incision for approximation of edges and any bleeding, drainage or redness. Assess for hematoma at neck- Call if increase edema or grapefruit size hematoma. Assess Vital Signs as ordered.
What is the risk in clamping the common carotid artery?
Carotid clamping time ranged from 1 to 45 min, with a median of 18 min. Peri-operative complications included death which occurred in 4 (0.75%) cases, major stoke in 10 (2.02%) cases, systemic complications in 2 (0.4%) cases and local complications in 10 (2.0%) cases.
Which of the following complications is the primary cause of neurogenic deficit following carotid endarterectomy?
Although embolism is considered to be the major cause of intra-operative neurological deficit (IOND) during carotid endarterectomy, the possibility that patients may vary in susceptibility to ischaemic damage following minor embolisation or falls in cerebral perfusion pressure is rarely considered.
What is the primary indication for carotid endarterectomy?
A carotid endarterectomy may be needed if one or both of your carotid arteries become narrowed because of a build-up of fatty deposits (plaque). This is known as carotid artery disease or carotid artery stenosis, and it significantly increases your risk of having a stroke or transient ischaemic attack (TIA).
Who is a candidate for carotid endarterectomy?
In conclusion, patients with mild to moderate intracranial disease and severe symptomatic extracranial stenosis are ideal candidates for carotid endarterectomy. For those with moderate stenosis and IAD, endarterectomy is recommended, but for those without IAD, endarterectomy is unlikely to be beneficial.
What can happen after carotid surgery?
Some possible complications of carotid endarterectomy include: Stroke or TIA. Heart attack. Pooling of blood into tissue around the incision site causing swelling.
How do you care for a patient immediately post op from an endarterectomy?
Home care
- Spend your first few days after surgery relaxing at home.
- Take your medicines exactly as instructed.
- Don’t drive until your doctor says it’s OK.
- Keep the wound dry until your doctor says it’s OK to shower.
- Don’t do strenuous activity for 7 to 10 days after your surgery.
How big is the incision for a carotid endarterectomy?
The scar is usually about 7 to 10cm (2.5 to 4 inches) long and fades to a fine line after 2 or 3 months.
