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Doctor insights on: Bilateral Carotid Artery

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Dr. Barbara Lavi
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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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Treatment for bilateral carotid artery calcifications?

Treatment for bilateral carotid artery calcifications?

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

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I have less than 50% stenosis of the bilateral internal carotid arteries by nascet criteria, should I be concerned?

I have less than 50% stenosis of the bilateral internal carotid arteries by nascet criteria, should I be concerned?

generally no: This is mild/moderate blockage and rarely associated with symptoms. Treatment is usually Aspirin and a statin.Do not smoke! follow up with carotid ultrasound every few years. ...Read more

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Bilateral high flow in common carotid artery and internal carotid artery with normal end diastolic velocity and no stenosis. Is this normal?

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

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Could you die by touching the carotid arteries?

Could you die by touching the carotid arteries?

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

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Can your carotid artery spasm?

Not really: Carotid disease cause stroke, only fmd (fibromuscular dysplasia) causes muscular spasms but they are typically asymptomatic... ...Read more

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Can statins unclog carotid arteries?

Can statins unclog carotid arteries?

Not really : Statins stabilize plaque so they are the best defense against atherosclerotic plaque. They decrease ischemic and embolic events. However, they do not reverse a stenosis. ...Read more

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What does narrowing of the carotid artery mean?

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 more

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Can a bad dowagers hump affect carotid artery flow?

Can a bad dowagers hump affect carotid artery flow?

No: A dowager's hump will not affect carotid artery flow. Disease in the carotid artery will affect flow. ...Read more

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Is a thickened carotid artery something to worry about?

Is a thickened carotid artery something to worry about?

Yes: As we age there is some thickening of the wall-intima. But it is a sign of potential atherosclerosis, and risk factor change is encouraged. Stop smoking check blood pressure aha diet or weight control appropriate cardiovascular exercise etc. ...Read more

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What does it mean to have an enlarged/wide carotid artery?

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

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Please help! what happens when a carotid artery gets nicked?

Please help! what happens when a carotid artery gets nicked?

Variable: Can be many results including: nothing, blood accumulation in the neck, ecchymosis (black and blue mark), hematoma (firm mass of blood), or, in the worse case, a stroke. ...Read more

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What happens to people when they have only one carotid artery?

Depends: Many people can either block one carotid, or have one carotid occluded surgically (ie for trauma or ecmo) and go on to live normal lives and never know. Likewise, some people can have devastating strokes from it. ...Read more

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How is it that my carotid artery might hurt and how do I fix it?

How is it that my carotid artery might hurt and how do I fix it?

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 more

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Could you tell me what happens when a carotid artery gets nicked?

"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

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