Dr Ali Sheikh talks about why it may be a good idea to consider carotid endarterectomy if you have a high grade carotid artery stenosis even without symptoms.
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Dr. Ali Sheikh, if you have a carotid artery stenosis that's been picked up, but you haven't ever had a TIA or stroke, is there any benefit in having an endarterectomy, cleaning out your carotid artery? Yes, so those patients who have a high grade stenosis and have no symptoms with it, the risk of having a stroke is 1% per year, which accumulates over years and get up to 10 years, so it's a 10% chance of having a stroke at 10 years' time, particularly in patients who are diabetic. They are at a higher risk of having high carotid, the carotid stenosis, a recurrence of stroke. The chance of having a stroke due to carotid surgery is 2%, so it's the risk and benefit and overall accumulation of the risk factors. These patients should be evaluated for an operated carotid endarterectomy. Thank you.
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