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 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
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
Exceedingly unlikely: The chances of this happening are extremely remote. Having said that we are always extremely cautious in examining patients with carotid artery atherosclerosis. I have personally witnessed at least one patient getting a stroke after a carotid artery examination--fortunately he recovered. So it is theoretically possible to get a stroke large enough to cause death, but the odds are extremely small. ...Read more
Atherosclerosis: The atherosclerotic plaque builds up at the bifurcation="branch point of the common carotid into external( face) and internal(brain) components. It may remain asymptomatic or may cause TIA or stroke. Commonly a significant narrowing is 80-99% there is a large medical scientific literature on this subject. ...Read moreSee 2 more doctor answers
Vascular surgeon: This may be a normal variant and have no clinical significance, but to be sure i recommend an evaluation by a vascular surgeon. ...Read more
Carotid Pain: Carotid artery pain is also called carotodynia. This is caused by inflammation of the arterial bulb, where the internal and external arteries divide from the common carotid artery. I recommend large doses of nsaids, such as Ibuprofen 800 mg three times / day for fourteen days. Prednisone is also generally very effective, but is used only if nsaids don't work. See your primary care healthcare provi. ...Read moreSee 1 more doctor answer
Death: You don't need a physician to explain that this leads pretty quickly to death. ...Read more
"Nicked": "nicked" is a word some physicians use to describe an unintentional injury caused in the process of providing medical care by a trained person. Depending on the extent of the injury to the carotid artery, the consequences can range from nothing to causing a stroke. This would be really unfortunate, but these things can and do happen with some regularity. ...Read more
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