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Id endarterectomy, your doctor will give you a thorough examination, including your medical history. Individuals with the following medical conditions are at higher risk of having complications from this surgery: past strokes, especially large strokes without recovery a heart attack within the last six months congestive heart failure uncontrolled high blood pressure unstable angina (chest pains) the presence of a serious disease, such as severe heart or lung disease widespread cancer with less than a 2-year life expectancy plaque that cannot be reached through surgery severe blockage in other blood vessels that supply blood to your brain, such as the carotid artery on the other side new blockage in a previous carotid endarterectomy on the same side alzheimer’s or other progressive brain disorders diabetes your doctor may order tests to help diagnose the extent of blockage. These tests include: cerebral angiography (also called vertebral angiogram, carotid angiogram) your arteries are not normally seen in an x-ray, so contrast dye is utilized. cheap generic viagra viagra for sale viagra without a doctor prescription buy viagra online buy cheap viagra buy viagra buy cheap viagra nationalityinworldhistory.net/bsh-discounted-viagra-lf/ buy viagra online buy cheap viagra You are given a local anesthetic, the artery is punctured, usually in your leg, and a needle is inserted into your artery. A catheter (a long, narrow, flexible tube) is inserted through the needle and into your artery. It is then threaded through the main vessels of the abdomen and chest until it is properly placed in the arteries of the neck. This procedure is monitored by a fluoroscope (a special x-ray that projects the images on a tv monitor). The contrast dye is then injected into the neck area through the catheter, and x-ray pictures are taken. Your pulse, blood pressure, and breathing are monitored during this procedure. Risks of this procedure include: an allergic reaction to the contrast dye although rare, the catheter may damage the artery or knock loose a piece of the artery wall, which can block blood flow and cause a stroke a clot or bleeding at the puncture site may result in a partial blockage of blood flow to the leg carotid duplex (also called carotid ultrasound) in this procedure, ultrasound is used to help detect plaque, blood clots, or other problems with blood flow in the carotid arteries. Ultrasonography is very reliable in identifying stenosis, but does not accurately assess the degree of stenosis. Because treatment is based on the degree of stenosis, treatment decisions cannot be made from ultrasonography alone. A water-soluble gel is placed on your skin where the transducer (a handheld device that directs the high-frequency sound waves to the arteries being tested) is to be placed. The gel helps transmit the sound to your skin surface. The ultrasound is turned on and images of the carotid arteries and pulse wave forms are obtained. There are no known risks a.
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