A member asked:

I have less than 50% stenosis of the bilateral internal carotid arteries by nascet criteria, should i be concerned?

3 doctors weighed in across 2 answers

generally no: This is mild/moderate blockage and rarely associated with symptoms. Treatment is usually Aspirin and a statin.Do not smoke! follow up with carotid ultrasound every few years.

Answered 8/1/2019

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Dr. Paul Skudder answered

Specializes in Vascular Surgery

Its about the future: Agree it's not dangerous level of stenosis. Its atherosclerosis, or hardening of the arteries. Can impact many body parts (heart attack, legs, kidneys, carotids, others). Its a gradually progressive problem with age. Your goal is to slow that progress in all areas if possible. NEVER SMOKE, treat BP and diabetes if needed, keep cholesterol low (statins), Aspirin, exercise if able. Hope this helps.

Answered 8/1/2019

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