Doctor insights on:
Inflamed Artery Treatment
What is the diagnosis & treatment for an inflamed carotid artery & what specialist do I need to see?
Inflamed carotid: Inflammation as such of an artery such as the carotid is not common. If by inflammation you mean atherosclerosis then, and in particular if you have symptoms such as dizziness or stroke-like symptoms at age 34, you need to see a doctor urgently for further investigation such as an ultrasound scan. Your GP can start this process but you may need to see a cardiologist or vascular surgeon. ...Read more
Arteries are defined as blood vessels which carry blood away from the heart (to either the body or lungs). Arteries: higher pressure, thicker walls, stretch (pulse) with each heart contraction & deliver blood to the arterioles which control the flow to individual capillaries. Veins are blood vessels which carry blood from capillaries back to the heart (body to right heart; ...Read more
Generally it is: Called atherosclerosis or arteriosclerosis(depending on the size of the artery involved) . It is usually caused by accumulation of cholesterol crystals and inflammatory cell and their products. The treatment is usually ant inflammatory medication and anti cholesterol medication. For detail understating talk to your doc. ...Read more
Just depends: There are a lot of options when discussing carotid artery disease. The treatment guidelines are very strict and are based on symptoms and the degree of narrowing found on tests. The options range from observation to placing a stent or surgery to remove the blockage. It is really hard to tell which one is the right treatment until evaluated by a vascular surgeon. ...Read more
Medication: Mledications to keep platelets from clumping may help. Also ensure that the arteries are completely blocked (if there is even a slight opening, surgery/stenting may be possible (but not if they are completely blocked). It may be worthwhile to discuss (somewhat controversial) surgical options like eca-ica bypass with your physician if there are complete blockages of both ica arteries. ...Read more
Depends: I think we all would want to know a lot more before giving an answer here. This is one where the internet fails and a good heart-to-heart (pun intended) with a local doctor is invaluable. ...Read more
Does artery inflammation change — worse at times, less inflammation at others (I do not mean in response to medication / treatment)? Pos. Factors?
I have errection problem I feel that blood flow is not good, and I think that arteries were clogged and I am smoker also? Plz suggest treatment?
See U Urologist : He may has the wright answer for u. ...Read more
Another idea: Narrowing of coronary arteries usually is a result of atherosclerosis, a buildup of plaque on the arterial walls. It is the long term effect of inflammation, cholesterol and aspects of lifestyle. If someone is motivated to change exercise habits, stress levels and diet, investigate the insurers- and medicare-approved program of dr. Dean ornish (www.Pmri. Org). It's work but can reverse this. ...Read more
What is the treatment for paraophtalmic artery aneurysm and are there any precautions prior to treatment?
Talk to your Doctor: This is an aneurysm of an artery by the eyes and heading towards the pituitary. The treatment can be open via opening the skull or fixing it with an internal stent. There are many potential problems which you should discuss with your doctor. It would not be prudent for me to have this type of discussion in this forum. ...Read more
None: Calcification of any artery, by itself, does not warrant any type of intervention or follow up. If that calcification is associated with a stenosis ("narrowing") of the artery, then that may require follow up and/or an operation. The carotid arteries are very often calcified and if associated with a high grade stenosis, may portend a higher risk of stroke. Discuss with a vascular surgeon. ...Read more
Surgery, stenting ..:
Or possibly observation depending on the particulars of the patient and the exact location and size of the iliac artery dissection.
Please contact your doctor and discuss this question with them. Consultation with a vascular surgeon and/or an interventional radiologist will be useful to plan the specific options in your case. ...Read more
Radial artery: Occlusion may or may not be symptomatic depending upon the level ie wrist, forearm level, the collateral circulation ie other avenues for blood flow, the pattern of the baseline circulation to the hand and fingers as some have a radial artery that never contributed much to the hand ie an ulnar dominant pattern and if the thrombosis itself is causing symptoms via alternative nerve pathways. ...Read more
What is the treatment for partially occluded carotid arteries, less than 50%, in a 54-year-old female?
Medical management: For most partial occlusions of the carotid arteries of <50%, aggressive medical management is usually all that is needed (i.e. No surgery.) this will include aggressive cholesterol control with LDL < 70 mg/dl and HDL > 45 mg/dl. In addition, blood pressure control with systolic < 130 mmhg and diastolic < 80 mmhg (<130/80). These are general recommendations; see your doctor for your specific case. ...Read more
Is it possible for the carotid arteries of my husband to clear up from 100% blockage on one side without treatment?
Not really: May develop some collateral vessels to help. Most likely he has an intact circle of willis and is getting flow from other side. Treatment will depend on what your husband and surgeon decide best meets his needs. ...Read more
Endarterectomy: This is an operation that removes the plaque from the lumen of the artery. Traditionally this is the gold standard treatment for carotid disease. In some patients however that are high risk for surgery your doctor may recommend carotid stenting. Either way maximal medical management of peripheral vascular disease should be incorporated into the treatment paradigm. ...Read more
Stroke: Pica occlusion can cause a complex brainstem cerebellar syndrome, and is usually a consequence of obstruction in the vertebral-basilar circulation at the base of brain. Although many meds will be useful, a combination of physical therapy, vestibular rehab, and occupational therapy will often be best. Do not neglect medication to prevent future strokes, such as aggrenox. ...Read more
Carotid artery disease means that the carotid arteries have blockage, usually in the form of atherosclerosis. This can cause stroke. The more severe the blockage, the greater the risk
in the absence of neurological symptoms, most cases can be handled with medicine and close periodic follow up by a vascular surgeon. However, if the blockage is more than 80%, surgery will reduce the risk of stroke. ...Read more
See your doctor: The treatment options for occluded vertebral arteries are not as well-defined as those for carotid artery stenosis. That said, there is a possibility of vertebral artery angioplasty, but your doctor will better be able to assess the risks and benefits after determining the degree of occlusion of the artery. ...Read more
Verterbral art disec: The one recommended by the Dr who sees you. ...Read more
Conservative: Typically, with anticoagulation/coumadin or antiplatelets for 3-6 months. Rarely with require stent placement. ...Read more
Many: There are many components to treatment including quitting smoking if you smoke, eating healthy and working toward a healthy weight if needed, regular exercise, identification & then treatment of modifiable risk factors (i.e. Blood pressure, cholesterol & other advanced markers, diabetes, more), and then regular follow-up to ensure goals are being met & new advances in treatment incorporated. ...Read more
3 interventions: 1. Treatment in a stroke unit. 2.IV rtPA therapy administered within 3 hours of onset to patients with ischemic stroke. 3. Aspirin administered within the first 48 hours of stroke. After patients are treated for a stroke, their typical initial rehabilitation program will last 3-4 weeks. ...Read more
I don't believe in unnecessary medical treatment. Do I really need to treat basilar artery migraine?
Depends on how bad i:
The answer depends on how bad they are. If you can tolerate them without any issue then the answer is no. If they bother you then avoid triggers, exercise regularly, limit stress and get enough sleep (eg 7-8hrs min). Eat a well-balanced diet, avoid medications and alcohol and smoking. Avoid dairy, caffeine
wheat, chocolate, eggs, rye, tomatoes, oranges. There are some medications — talk to your md. ...Read more
What is the most efficient noninvasive treatment for popliteal artery occlusion with claudication distance 150 m?
What is the treatment and prognosis for someone with a combination of carotid occlusion/stenosis and occlusion/stenosis of the basilar artery?
Depends: Artery disease in the neck vessels (carotid/basilar) is associated with risk for stroke. Your doc, vascular provider can best assess all the associated factors and give you a risk assessment. Treatments vary from medical management, nicotine cessation, stenting, surgery and combinations of them all. ...Read more
Is there another treatment for giant cell arteries other than 60 mg steroids daily for the rest of my life? I hope so because I refuse treatment.
Giant cell arteritis: Prompt treatment of giant cell arteritis is critical in order to prevent permanent tissue damage and loss of vision. Corticosteroid medications usually relieve symptoms of giant cell arteritis and may prevent loss of vision. The evidence supporting the use of steroid-sparing immunomodulatory agents such as Methotrexate for long-term management remains debated. ...Read more
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