Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, March 20, 2021

Up-to-date perspective on the treatment of cervical carotid high-degree stenosis, DEBATE: treat or not to treat?

I don't know how to get the full presentation but this pretty much matches my thoughts on carotid stenting and endarterectomy.

 

Before you go down either route ask your doctor to GUARANTEE NO STROKE from either procedure. If it was me I would ask my doctor to see if the Circle of Willis was complete; if yes, then have the doctor close up the offending artery. My right carotid artery completely closed up for 14 years before collaterals grew around it. I have had no dizziness or cognitive issues with only 3 arteries feeding the Circle of Willis.

Problems to consider:

1.  Talk to your doctor about the dangers of stroke due to the endarterectomy procedure and why you would want to put inflexible metal stents in flexible arteries.

2. You might want to prevent stent placement complications per European Society of Cardiology

A - Minor complications

  • Carotid artery spasm

  • Sustained hypotension / bradycardia

  • Carotid artery dissection

  • Contrast encephalopathy (very rare)

  • Minor embolic neurological events (TIAs)

B - Major complications

  • Major embolic stroke

  • Intracranial hemorrhage

  • Hyperperfusion syndrome

  • Carotid perforation (very rare)

  • Acute stent thrombosis (very rare)

  • Complications at the site of the vascular access

  The latest here:

Up-to-date perspective on the treatment of cervical carotid high-degree stenosis, DEBATE: treat or not to treat?


 

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