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Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?
When a report says without significant stenosis, does that mean there's some but not enough to matter or there is none at all? Atherosclerosis on ICA
Stenosis: Stenosis is the narrowing of a blood vessel that alters normal perfusion. Examples of stenosis in the vascular system are renal artery stenosis or carotid artery stenosis. The development of atherosclerotic plaques sometimes occludes so much of a blood vessel that stenosis occurs. ...Read more
Not really : We don't have therapies to "melt plaque", but there are treatments to stabilize atherosclerotic plaque. These include Aspirin and aca inhibitors which can be very effective in treating non symptomatic carotid stenosis. The exception to this rule is if you have a severe stenosis greater than 60 percent the current data supports treatment (endarterectomy v. Stent). ...Read more
Depends on type: Young people are different than older ones. The disease is slowly progressive esp in the atherosclerotic variety usually in older patients. So, newer research suggests that observation is equivalent to aggressive intervenion in most cases due to similar outcomes. ...Read moreSee 1 more doctor answer
Artery blockage: Carotid artery stenosis 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 stroke risk. ...Read moreSee 2 more doctor answers
Yes: Patient with carotid stenosis should be on anti platelet medicine like Aspirin or Plavix , also if tolerated, must be on a statin( cholesterol lowering medicine) like Lipitor to stabilize atherosclerotic plaque and prevent its progression to worse stenosis. In cases of symptomatic carotid stenosis above 50% then surgery is better than just medical treatment. ...Read moreSee 1 more doctor answer
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
Elderly Hypertensive: Carotid stenosis usually occurs secondary to longstanding atherosclerosis. Risk factors include high blood pressure, diabetes, and coronary artery disease. It takes time for atherosclerotic plaques to develop, so most patients with carotid artery stenosis are older adults. ...Read moreSee 1 more doctor answer
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