Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Will The Waiting For Stroke Treatment Cause Any Risks?

My mother had a stroke three days ago. She is currently in the hospital with 100% blockage & 50 percent in her coratid arteries. I don t suspect treatment to begin for another two days. Is waiting that long for surgery increase her risk of another stroke before treatment?
Wed, 10 Jun 2015
Report Abuse
Neurologist 's  Response
I read your question carefully and I understand your concern.

I don't think that your mother is without treatment currently. I am sure your doctors have her under some type of blood thinner such as Aspirin and Clopidogrel which offers protection.

As for the decision for surgery it is not always that straightforward. Actually for a completely occluded artery (100% stenosis) usually no surgery is done as that artery does not release any more emboli and surgery would only risk another stroke. As for the 50% side the decision should also be carefully weighed. Surgery carries its own risks, even stroke initially, usually surgery is done when there is a stenosis over 70% and causing symptoms, 50-70% is more debatable. So the characteristics of the atherosclerotic plaque are considered through ultrasound to evaluate its potential to release emboli. Also it is important to know whether that stenosis is causing any symptoms. If it is a stable plaque and is not causing symptoms (the origin of the stroke was the other side) continuing blood thinners might be more appropriate. Another issue to evaluate might be her heart vessels condition as many of these patients may have silent narrowings of their heart vessels and might risk a heart attack.

I imagine I might be confusing you. More than you assimilating all this information what I am trying to do is make you understand that there are medication approaches available and in choosing between surgery and medication there are many variables at play which your doctors should consider to decide which choice carries the best prognosis. Each choice has its pros and cons, it's a matter of percentages.

I hope things work out for the best.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 
Loading Online Doctors....
Will The Waiting For Stroke Treatment Cause Any Risks?

I read your question carefully and I understand your concern. I don t think that your mother is without treatment currently. I am sure your doctors have her under some type of blood thinner such as Aspirin and Clopidogrel which offers protection. As for the decision for surgery it is not always that straightforward. Actually for a completely occluded artery (100% stenosis) usually no surgery is done as that artery does not release any more emboli and surgery would only risk another stroke. As for the 50% side the decision should also be carefully weighed. Surgery carries its own risks, even stroke initially, usually surgery is done when there is a stenosis over 70% and causing symptoms, 50-70% is more debatable. So the characteristics of the atherosclerotic plaque are considered through ultrasound to evaluate its potential to release emboli. Also it is important to know whether that stenosis is causing any symptoms. If it is a stable plaque and is not causing symptoms (the origin of the stroke was the other side) continuing blood thinners might be more appropriate. Another issue to evaluate might be her heart vessels condition as many of these patients may have silent narrowings of their heart vessels and might risk a heart attack. I imagine I might be confusing you. More than you assimilating all this information what I am trying to do is make you understand that there are medication approaches available and in choosing between surgery and medication there are many variables at play which your doctors should consider to decide which choice carries the best prognosis. Each choice has its pros and cons, it s a matter of percentages. I hope things work out for the best.