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Doctor insights on: What Kind Of Doctors Treat A Carotid Arteries

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My doctor heard no bruits in my carotid arteries. Could there be any benefit, still, to an ultrasound of them?

My doctor heard no bruits in my carotid arteries. Could there be any benefit, still, to an ultrasound of them?

Yes: Yes, there can be carotid stenosis without audible bruits, so if your doctor is looking for stenosis, or characterization of atheromatous plaque, carotid ultrasound could be useful. ...Read more

Dr. James Lin
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Artery (Definition)

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


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Hi doctors, can you tell me what is stenosis of the carotid artery?

Hi doctors, can you tell me what is stenosis of the carotid artery?

Narrowing: "stenosis" means narrowing. Most commonly stenosis of the carotid artery is from atherosclerotic disease, or hardening and buildup of plaque within the artery itself. Atherosclerotic disease of the carotid artery is implicated in stroke and is best monitored by a vascular surgeon, who can easily follow the degree of narrowing by ultrasound on a periodic basis. ...Read more

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My doctor heard something he did not like when he listened to my carotid artery? Is it the noise of clogged artery?

My doctor heard something he did not like when he listened to my carotid artery? Is it the noise of clogged artery?

Neck bruit: Your doc most likely heard a bruit with the stethescope. A bruit is a sound related to turbulent flow. The next step in your workup is to review your vascular risk factors and get an ultrasound or duplex of your neck arteries. The issue is stroke risk. ...Read more

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My doctor said he is concerned about my carotid artery. Which tests will I need to take?

My doctor said he is concerned about my carotid artery. Which tests will I need to take?

Ultrasound: A carotid duplex scan or ultrasound is the best test to start with to evaluate your carotid arteries for blockages. If you have blockages, a blood test to check your cholesterol levels is also a good idea. ...Read more

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Doctors please advise. Is it ok to press your carotid to ck pulse if you have carotid artery disease?

Doctors please advise. Is it ok to press your carotid to ck pulse if you have carotid artery disease?

Ok but: There is truly no association between pressing on the carotid artery and increase risk of stroke in my opinion except if the patient has more than fifty percent stenosis and he is symptomatic because in this special situation the plaque in the carotid artery can be friable and pressing on it can cause another attack. ...Read more

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My doctor is sending me for a scan of my carotid artery he says this is just the normal procedure at my age which is 68. What will this test show and why is it given?

My doctor is sending me for a scan of my carotid artery he says this is just the normal procedure at my age which is 68. What will this test show and why is it given?

Trends: Non-invasive screening for peripheral vascular disease, and extra cranial stenosis, is becoming common, and may well be routine, as part of health maintenance and prevention. These studies are non-invasive, and conducted utilizing ultra-sound techniques. If a block of carotid is noted, this can be handled often by medication, and less often by a fairly safe surgery, to prevent a stroke. ...Read more

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Might doctors see carotid artery during PFO closure in cath lab?

Might doctors see carotid artery during PFO closure in cath lab?

They don't but can: Usually angiogram of the aorta and carotid arteries is not part of the cath. Procedure for pfo closure. So it is not performed. But, technically, an angiogram of the carotids, coronaries or other structures can be performed during the same procedure if there was an indication for it. ...Read more

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I have 70 percent blockage and doctor. Wants to cean. Out my carotid. Artery. And I am. Frightened of stroke I have heard of three people. Who had?

I have 70 percent blockage and doctor. Wants to cean. Out my carotid. Artery. And I am. Frightened of stroke I have heard of three people. Who had?

Need Surgery: Acas trial in United States showed benefit of surgery for over 60% stenosis with risk reduction over 5 years. You want to make sure that you see experienced vascular surgeon. If you are a good anesthetic risk you should do fine and be able to go home day after surgery. ...Read more

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Feel like there is big knot in carotid artery feels swollen beats hard. Can't see doctor till Monday family won't let me go to ER?

Feel like there is big knot in carotid artery feels swollen beats hard. Can't see doctor till Monday family won't let me go to ER?

Carotid body: Yes, that's a structure of the human body that serves as a sensor that makes sure the brain gets blood (and therefore oxygen). That beating you feel is the 'pulse' - and I assume you have a thin neck, which is why you can feel it so well. I don't think you need to go to the ER for that -- it would be a waste of your time. If you're still unsure, a regular appointment with a family doctor is OK. ...Read more

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Had a carotid artery ultrasound and doctor also heard bruit, what do they mean?

Had a carotid artery ultrasound and doctor also heard bruit, what do they mean?

Narrowing in artery: When there is significant narrowing in carotid artery-that would create turbulant and that can be heard on examination and called carotid bruit.
Go to see your doctor and discuss re- ultrasound finding and further management. Good luck. ...Read more

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How do doctors make sure that the brain keeps getting blood during carotid artery surgery?

How do doctors make sure that the brain keeps getting blood during carotid artery surgery?

EEG or Shunt: There are two ways to know. Some people use a EEG to monitor the brain activity to assure enough blood is flowing to the brain. Others use a small tube to allow blood to bypass the work/surgery site in order to assure blood is always being supplied they work. ...Read more

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Pea sized lump on area of scm in neck, for 2 months Hard to move Could this be aneurysm of carotid artery? Will see doc next week, want to ease nerves

Pea sized lump on area of scm in neck, for 2 months Hard to move Could this be aneurysm of carotid artery? Will see doc next week, want to ease nerves

Easy does it: A firm palpable lump on the anterior neck is very unlikely to be related to the carotid. If it is pulsating, that would be more worrisome. ...Read more

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Stroke from Carotid Artery 4 mths ago taking Clopidogrel for4 mths, Doctor says should have blood test 7 mths from the stroke to monitor progress True?

Stroke from Carotid Artery 4 mths ago taking Clopidogrel for4 mths, Doctor says should have blood test 7 mths from the stroke to monitor progress True?

Not necessarily: Two points: carotid artery disease can cause an embolus stroke but onus lies on your doctor to proove that was the cause of ur stroke. Arrhythmia in a 76 yo often times more likely. Second, you ought to be on Asa + plavix (clopidogrel) + statin at a very minimum to prevent further strokes if from carotid, and effectuate plaque regression. See a cardiologist. Another ultrasound routinely not necessarily needed ...Read more

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Carotid artery? (ent said don't worry about it) swollen/painful for 10 mo. Ct scan showed nothing abnormal. Should I see a vascular doc or do nothing?

Carotid artery? (ent said don't worry about it) swollen/painful for 10 mo. Ct scan showed nothing abnormal. Should I see a vascular doc or do nothing?

Why....: ....Do you think this is your carotid artery? There are many things that can cause unusual sensations in the neck. Most carotid artery disease causes no sensation at all in the neck. ...Read more

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I have a hard pulsating knot in my carotid artery my doctor thinks it's a swollen lymph node but I think it's a carotid aneurysm nobody will tak me ER?

I have a hard pulsating knot in my carotid artery my doctor thinks it's a swollen lymph node but I think it's a carotid aneurysm nobody will tak me ER?

Not an aneurysm: It is not an aneurysm. You have an expert opinion. You think at age 17 you know better than the doctor who examined you? Unnecessary care in the ER could cost thousands of dollars. An aneurysm is not hard and it is not experienced as you describe. This thought is an obsession in your mind. It does not make it real because you think so. ...Read more

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Carotid artery is swollen and beats hard. My throat has been sore and artery spasms. Been like this for four days can't see doctor til Monday.

Carotid artery is swollen and beats hard. My throat has been sore and artery spasms. Been like this for four days can't see doctor til Monday.

Your artery: Is deep so you would not see it if it was swollen. A sore throat hurts but as long as you can swallow you are ok. You should be fine waiting till monday. Hurtful not harmful ...Read more

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How do people treat carotid artery disease?

How do people treat carotid artery disease?

Multiple options: If the narrowing is significant surgery or a stent are used. Before you get to that point blood pressure control, cholesterol lowering medications and blood sugar control are helpful. And obviously no smoking. ...Read more

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Internal carotid artery dissection and exercise...My dissection has mostly healed (2mm aneurysm remains) over the last 20 months. What kind of exercise can I do and at what intensity?

Internal carotid artery dissection and exercise...My dissection has mostly healed (2mm aneurysm remains) over the last 20 months. What kind of exercise can I do and at what intensity?

Ask UR cardiologist: Whoever is following you medically needs to be involved in this discussion, as their recommendations is what you'll need to follow closely. Give your doctor a call, and she what s/he says. You don't want to aggrevate the remaining 2 mm aneursym present. This is a great question, and glad you are exercising carefully! ...Read more

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During a carotid artery scan (handheld like an ultrasound) an intermittent cardiac arrhythmia was detected. What kind of arrhythmia would it be?

During a carotid artery scan (handheld like an ultrasound) an intermittent cardiac arrhythmia was detected. What kind of arrhythmia would it be?

Arrhythmia: You need to get an ekg first to see if you really have arrhythmia. Based on that you may need more studies including echo, holter, etc. Please go and see your doctor. .. ...Read more

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Is 50% in Left and right Carotid Artery a major degree of Atherosclerosis or can this be treated with Clopidogrel and fibrazate after TIA? 70+ Fem

Is 50% in Left and right Carotid Artery a major degree of Atherosclerosis or can this be treated with Clopidogrel and fibrazate after TIA? 70+ Fem

Yes: Also suggest to have a full cardiovascular evaluation
Consider Intensive cholesterol management and anti platelet treatments, Follow up monitoring of carotid vessels and may be an MRA of intracranial circulation would be appropriate ...Read more

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Could blocked carotid arteries impair vision?

Could blocked carotid arteries impair vision?

Yes: It can cause a field cut (homonymous hemianopsia) in which vision is lost in the same area of the field in both eyes often described as "shade coming down"; it can also cause sudden blindness in one eye (retinal embolism). ...Read more

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Could blocked carotid arteries impair vision?

Definately: Amarosis fugax, or "fleeting blindness" is described as a curtain coming down over your eye -- this is a classic presentation of carotid artery disease. You should see your doctor right away. ...Read more

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What are symptoms of blocked carotid arteries?

Stroke: Dizziness, visual changes. See stroke. Org for more complete list. ...Read more

Carotid Arteries (Definition)

The carotid arteries start in the chest and progress up the sides of the neck. About mid neck they split and one branch supplies blood to the face the, the other continues without branches into the skull and supplies ...Read more