Aa
optimism
what are the benefits or who benefits from surgery to remove a blood clot after a stroke.
MEDICAL PROFESSIONAL
Hi,
Once an ischemic stroke is completed, surgical removal of atheromas or clots (endarterectomy) in an internal carotid artery may be done. Carotid endarterectomy can help if all of the following are present: The stroke resulted from narrowing of a carotid artery by more than 70%.,Some brain tissue supplied by the affected artery still functions after the stroke,The person's life expectancy is at least 5 years.
In such people, carotid endarterectomy may reduce the risk of subsequent strokes. It also reestablishes the blood supply to the affected area, but it cannot restore lost function because some brain tissue is dead.In other narrowed arteries, such as the vertebral arteries, endarterectomy may not be possible because the operation is riskier to perform in these arteries than in the internal carotid arteries.
People should find a surgeon who is experienced doing this operation and who has a low rate of serious complications (such as heart attack, stroke, and death) after the operation. If people cannot find such a surgeon, the risks of endarterectomy outweigh its expected benefits.
Stents: If endarterectomy is too risky, a less invasive procedure can be done: A wire mesh tube (stent) with an umbrella filter may be placed in the carotid artery. The stent helps keep the artery open, and the filter catches blood clots and prevents them from reaching the brain and causing a stroke. The procedure appears to be as safe as endarterectomy and is almost as effective in preventing strokes and death.. Please consult an experienced neurosurgeon for the surgery . Hope this helps you .Take care and regards !
Once an ischemic stroke is completed, surgical removal of atheromas or clots (endarterectomy) in an internal carotid artery may be done. Carotid endarterectomy can help if all of the following are present: The stroke resulted from narrowing of a carotid artery by more than 70%.,Some brain tissue supplied by the affected artery still functions after the stroke,The person's life expectancy is at least 5 years.
In such people, carotid endarterectomy may reduce the risk of subsequent strokes. It also reestablishes the blood supply to the affected area, but it cannot restore lost function because some brain tissue is dead.In other narrowed arteries, such as the vertebral arteries, endarterectomy may not be possible because the operation is riskier to perform in these arteries than in the internal carotid arteries.
People should find a surgeon who is experienced doing this operation and who has a low rate of serious complications (such as heart attack, stroke, and death) after the operation. If people cannot find such a surgeon, the risks of endarterectomy outweigh its expected benefits.
Stents: If endarterectomy is too risky, a less invasive procedure can be done: A wire mesh tube (stent) with an umbrella filter may be placed in the carotid artery. The stent helps keep the artery open, and the filter catches blood clots and prevents them from reaching the brain and causing a stroke. The procedure appears to be as safe as endarterectomy and is almost as effective in preventing strokes and death.. Please consult an experienced neurosurgeon for the surgery . Hope this helps you .Take care and regards !
Thank you. You made it clear for me.
MEDICAL PROFESSIONAL
Hi,
Surgical interventions are needed to save the life of patients or to improve their chances of meaningful recovery. The type of surgery depends upon the specific cause of brain bleeding.
The goal of surgery for subarachnoid bleeding, for example, is to suppress the chances of a second bleed from any identified aneurysm, which would almost always be fatal. The surgeon has to open up the skin and skull to expose the base of the brain, where the aneurysm is located, and place a clip on it, which prevents future leaking of blood from the affected artery. When surgery is too risky or technically impossible, a coil embolization can be attempted. This procedure consists of threading a special coil into the aneurysm through a catheter inserted in an artery. The coil literally clogs the aneurysm, preventing further leakage of blood.
For other types bleeding, a removal of the hematoma may occasionally be needed, especially when bleeding occurs in the back of the brain. Some physicians are currently investigating whether the injection of a "clot buster" inside the hematoma can facilitate the removal of brain hemorrhages through needles or catheters, therefore allowing less invasive surgery.
One common problem related to brain bleeding is hydrocephalus, which is the accumulation of a water-like fluid within the brain cavities called ventricles. To solve this problem, the fluid may need to be drained with a special procedure called ventriculostomy. Hope this helps you . Take care and regards !
Surgical interventions are needed to save the life of patients or to improve their chances of meaningful recovery. The type of surgery depends upon the specific cause of brain bleeding.
The goal of surgery for subarachnoid bleeding, for example, is to suppress the chances of a second bleed from any identified aneurysm, which would almost always be fatal. The surgeon has to open up the skin and skull to expose the base of the brain, where the aneurysm is located, and place a clip on it, which prevents future leaking of blood from the affected artery. When surgery is too risky or technically impossible, a coil embolization can be attempted. This procedure consists of threading a special coil into the aneurysm through a catheter inserted in an artery. The coil literally clogs the aneurysm, preventing further leakage of blood.
For other types bleeding, a removal of the hematoma may occasionally be needed, especially when bleeding occurs in the back of the brain. Some physicians are currently investigating whether the injection of a "clot buster" inside the hematoma can facilitate the removal of brain hemorrhages through needles or catheters, therefore allowing less invasive surgery.
One common problem related to brain bleeding is hydrocephalus, which is the accumulation of a water-like fluid within the brain cavities called ventricles. To solve this problem, the fluid may need to be drained with a special procedure called ventriculostomy. Hope this helps you . Take care and regards !
What if the stroke is hemorrhagic? Will this same apply to that too?
You are reading content posted in the Stroke Forum
Find out how beta-blocker eye drops show promising results for acute migraine relief.
In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease.
Here are 12 simple – and fun! – ways to boost your brainpower.
Discover some of the causes of dizziness and how to treat it.
Discover the common causes of headaches and how to treat headache pain.
Two of the largest studies on Alzheimer’s have yielded new clues about the disease
