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Doctor insights on: Bilateral Carotid Artery

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I have bilateral carotid artery dissections that are 100% occluded for 1 year. Is it possible they will recanalize after so long?

I have bilateral carotid artery dissections that are 100% occluded for 1 year.  Is it possible they will recanalize after so long?

Yes: But it is unlikely. If you have survived one year with both carotid arteries occluded by dissections you are very lucky. If you have no symptoms you might get away without surgery. Do you have other diseases or any symptoms? ...Read more

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Dr. Ralph Wharton
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Artery (Definition)

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


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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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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