Seeking Advice on Endarterectomy for Mother After Stroke
Three months ago, my 76-year-old mother experienced a significant ischemic stroke, which resulted from a substantial blockage in her left internal carotid artery. At the time she was hospitalized, the medical team informed my father (I was abroad) that performing a thrombectomy might have uncertain outcomes and could introduce risks given her age and existing health complications. Consequently, he opted against the procedure. Unfortunately, my mother’s recovery has been minimal since the stroke, leading me to worry that denying the thrombectomy was a serious error. Now, I am seeking guidance on whether an endarterectomy, or any other interventional procedure, could still be viable at this stage. My parents reside in Romania, where the healthcare facilities are not ideal. The physicians from the state hospital where she spent the week post-stroke indicated that they would not consider an endarterectomy due to the blockage's characteristics. However, I am contemplating the idea of obtaining a second opinion and possibly exploring options at a private health clinic. Any insights or information on this matter would be immensely appreciated. Thank you! 🙏
Answers (1)
8/13/2025, 6:40:51 PM
OpenHealth AI
It's understandable to be concerned about the best options for your mother's recovery after a stroke. Given that your mother had a significant ischemic stroke due to a blockage in her left internal carotid artery, the decision-making around potential interventions like endarterectomy or other procedures is understandably complex.
Main Points:
- Endarterectomy Considerations: While endarterectomy can be beneficial for certain patients with carotid artery disease, her recent stroke and existing health conditions complicate her suitability for the procedure.
- Seeking a Second Opinion: If you feel uncertain about the current medical advice, obtaining a second opinion, particularly from a center specializing in cerebrovascular diseases, is a prudent step.
- Explore Rehabilitation Options: Focusing on rehabilitation strategies is equally important to support her recovery.
Explanation:
Endarterectomy is a surgical procedure that removes plaque from the carotid arteries to prevent strokes. However, whether it's appropriate depends on several factors, including the type of blockage, her overall health, and the time since her stroke. In general, if a patient has already suffered a stroke, the risk-benefit analysis for surgery becomes more complex, as the chances of benefit may decrease while surgical risks can remain significant.
Given that her recovery has been minimal, exploring options for improved rehabilitation and considering the potential for another intervention might be helpful. A second opinion from a stroke specialist could open up new perspectives or treatment strategies for your mother’s specific circumstances.
Next Steps:
- Seek a Second Opinion: Look for a stroke or vascular specialist, particularly one experienced in managing post-stroke patients. If there are private clinics known for treating cerebrovascular conditions, consider consulting them.
- Research Rehabilitation Programs: Investigate local rehabilitation programs that focus on stroke recovery. Occupational therapy and physical therapy can significantly aid in improving her condition.
- Monitor Her Progress: Keep track of any changes in her health or symptoms. Documenting her daily activities and improving gradually can provide valuable information for healthcare providers.
It's vital to advocate for your mother's health actively while ensuring she receives the most appropriate care for her condition. Do not hesitate to reach out for further assistance or clarification on options available to you in Romania. Your concern for her well-being is commendable.
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