My mother 68 years of age has had both corotid arteries cleaned out the right side closed up with scar tissue and they wont go back in due to the fact that they say it could be fatal.  The left side they put a stent in.  Her MRI shows that she has had a very mild stroke we see no lingering effects.  Now, she is having high blood pressure problems for the past week. She has always had very low blood pressure.  She went yesterday for a test to see if the left side where the stent is is still working.  I guess my question is that if the stent is no longer working what is the next step?
Hello, If stent is not patent then new stent can be put in, and she can undergo surgery as well called as carotid endarterectomy, after seeing the feasibility on reports. Also, blood pressure should be controlled.  She should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then she should be on medicines for it. Regular exercises like brisk walking, jogging according her capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat.