HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

My 88 Year Old Mother Suffered A Stroke . She

Posted on Wed, 18 Nov 2020

Question: My 88 year old mother suffered a stroke. She is communicative, up with a walker. My 89 year old father has said she has 100% blockage in both cartiod arteries. That would seem hard to survive on very long if at all.

Answered by Dr. Mirjeta Guni (5 hours later)

Brief Answer:
Information about carotid stenosis;

Detailed Answer:
Hello and thank you for asking!
I can understand your concern regarding to your mother's health.
Would you please specify your query?
Will be a pleasure to help you further.
Best wishes.
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Mirjeta Guni (8 hours later)

I thought the question was pretty clear. I’m not sure what you would want me to specify. What is the typical prognosis for an elderly patient in this situation. With no blood flow from her arteries to the brain that sounds almost impossible.

Answered by Dr. Mirjeta Guni (24 hours later)

Brief Answer:
About bilateral carotid stenosis:

Detailed Answer:
Hello again,
The prognosis is clear i think, i thought you would be interested in the treatment.
Critical bilateral stenosis of the carotid arteries (critical means over 80% stenosis), needs emergent treatment ( endartherectomy or angioplasthy with stents) to prevent a stroke event.
In critical bilateral stenosis the probability of stroke is extremely high.
I would suggest to see an angiologist as soon as possible.
Wish her good health.
Best wishes,
Dr.Mirjeta

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Mirjeta Guni (2 hours later)

She has seen a specialist but they have suggested that based on her advanced age (88) that neither endartherectomy nor angioplasthy would be appropriate.
While her health is good other than this, it sounds like the physicians are essentially determining that the surgery and recovery would not likely be successful nor improve quality of life.

Answered by Dr. Mirjeta Guni (2 days later)

Brief Answer:
About critical carotid stenosis;

Detailed Answer:
Hi again,
The aim is normally, a good quality of life and a long life. Where there is a possibility to improve both of them, the better it is.
Angioplasthy is less imvasive procedure but except of age there are many other factors to be taken into consoderation ( the extend of the stenosis, comorbidities, the actual cilinical status ect)
If they have decided none of the interventions would be benefical, than what is the life excpectancy in this case? Did they tall about it?

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Mirjeta Guni (14 hours later)

No, they didn't talk about it. So your comment that prognosis is clear actually isn't and that is what I'm asking.

Answered by Dr. Mirjeta Guni (2 days later)

Brief Answer:
Life excpectancy;

Detailed Answer:
Hi again,
The estimated life excpectancy in this case is less than 3 years.

Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Kampana