Hello sir,dis s dr..rajkumari.my mom had an attack of cva 2 wks back.nw she recovered from dat.we did carotid doppler it shows there s >70% stenosis of ICA. she s 50yrs old she is hypertensive on treatment but not a diabetic.can we go for carotid endarterectomy for dis
Hello thanks for posting here. The CVA she had is due to internal carotid artery disease she is having. So you have to treat the cause. So the options are a carotid angioplasty or carotid endarterectomy. I cannot comment why carotid artery angioplasty is not offered as an option to her. Maybe her carotid disease is quite severe and diffuse. So please inquire about feasibility of angioplasty which is comparatively a safer and comfortable procedure. If not feasible, then you can go ahead with carotid endarterectomy. She will do well after that.  There is no contraindication to perform carotid endarterectomy in a patient with hypertension. Thank you.