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Carotid Artery Block for the Second Time is Rare in Patients: Indian Doctor

by Julia Samuel on April 15, 2015 at 6:08 PM
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Carotid Artery Block for the Second Time is Rare in Patients: Indian Doctor

Seventy-year-old Jayaraman, visited his doctor after ten years for the same complaint. Dr. Subrammaniyan, vascular surgeon, Rajiv Gandhi Government General Hospital, India, was surprised when his patient, 70-year-old came to him with the same problem after 10 years.

A decade ago, Jayaraman was treated for a 98% block in his clogged carotid artery, which caused weakness in his left hand and leg. "For a decade, I led a normal life. Then suddenly, a few months ago, I experienced the same weakness. This time in my right hand and leg," said, Jayaraman.

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Jayaraman was diagnosed with a fat embolus blocking the carotid artery, which can lead to a major stroke. The brain is deprived of oxygen and causes cell death if untreated.

"The TIA (Transient Ischemic Attack) was caused by a fat embolus blocking the carotid artery," said Dr. Subrammaniyam, adding it was very rare to have the same problem twice. A 'stroke prevention surgery', where the embolus is removed to relieve pressure and blood flow. The artery is then repaired with tissue from the veins in the legs.
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The surgeon mentioned that the patient showed early symptoms like stiffening of hands and feet, and decided to go for a surgery. "Most people know that there's very little time after a stroke to try and dissolve it, but with this procedure we can anticipate the arrival of a stroke and stop it short. We don't need to wait for a complete blockage and even where there is a 60-80% block, we can set it right by widening the carotid at the site of the block," he explained.

Source: Medindia
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