Doctor insights on:
Bilateral Carotid Artery
I have bilateral carotid artery dissections that are 100% occluded for 1 year. Is it possible they will recanalize after so long?
Arteries are a type of blood vessels. We can divide blood vessels into 2 categories. Arteries are high pressure vessels which deliver (red) oxygen + blood out into the body. Veins on the other hand or low pressure vessels which return (dark) oxygent - blood from the body ...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
I have less than 50% stenosis of the bilateral internal carotid arteries by nascet criteria, should I be concerned?
Bilateral high flow in common carotid artery and internal carotid artery with normal end diastolic velocity and no stenosis. Is this normal?
How high is high?: Increased flow without stenosis can happen if the cardiac output is very high or there is tortuosity if the arteries Generally don't worry until systolic velocity is over 200 cm/sec and even then it is probably ok with normal diastolic velocity why did you get the test? IF you are asymptomtic I would not worry too much ...Read more
My ultra sound for carotid artery showed, "mild noncalcified plaquenin carotid systems bilaterally" should I be worried?-(healthy 70 year old male)
No: Only when the obstruction is around 70% or higher we recommend surgery ( endarterectomy or scraping of the plaques ) but we order an mra or dsa to confirm it . In the mean time you could take 81 mg of Aspirin (if not allergic or contraindicated )and lower your cholesterol as much as you can.. ...Read moreSee 1 more doctor answer
Surgery or stents: For blockages serious enough to require treatment, there are two options. A carotid endarterectomy is a surgery where the arteries are opened sugically and cleaned out. For some people, stenting is an option. Similar to heart stents, a small tube is inserted like an IV and a small metal coil is released in the area of the blockage, thereby holding the vessel open. ...Read moreSee 1 more doctor answer
Carotic Arteries: The human carotid arteries supply the head and the neck with oxygenated blood. The left common carotid artery originates from the aorta and the right common carotid originates from the brachiocephalic artery which originates from the aorta. The carotic artery divides in the neck to form the internal and external carotic arteries. ...Read moreSee 1 more doctor answer
No certainty & be: aware that only the opening is usually evaluated by ultrasound or angiography. While relevant for blood flow (at the moment), atherosclerosis is in the walls, does not produce narrowing & plaque ruptures leading to clot promoting debris shedding into the blood stream & clots are what creates strokes, not narrowing. Study: http://goo.gl/aRhOU2, the image & my answers on healthtap for understanding. ...Read moreSee 1 more doctor answer
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