Doctor insights on:
Bilateral Internal Carotid Artery Stenosis
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
2 things: Carotid artery stenosis means narrowing of the artery. Stroke is death or damage to brain due to circulatory issues. Many strokes (approx 1/3rd) are due to carotid artery disease. Although frequently connected, they are not the same. Many strokes occur without carotid stenosis. Many carotids are completely occluded (slowly) without resultant strokes. ...Read more
Unclear: I'm not clear what you're asking? If carotid stenosis is suspected, the neck is auscultated for bruits. The pt is queried for neurologic deficit and, if appropriate, a neurologic exam is done. Duplex ultrasound exam of the neck is done. If necessary, a ct, mra, or angiogram may be necessary in selected cases. ...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 more
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 (atorvastatin) 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 more
Yes: You should be on an Aspirin and a statin. Both lower your risk of a stroke, but neither will make the carotid stenosis go away. ...Read more
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 more
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
What could cause peak systolic velocity of right internal carotid artery to be elevated to 130cm/s but no elevation in left ica & no stenosis found?
No evidence of hemodynamically significant stenosis on either side. 50% stenosis right internal carotid artery, 50-69% left. What could I expect next?
What does it mean when you have 1-15% stenosis of right and left internal carotid artery and that clinical correlation recommended?
Mild narrowing: The cutoff for a signicant or abnormal is 50% narrowing or greater. Minor narrowing < 30% is considered normal. Clinical correlation means to ask your doctor what the test means for you as an individual. ...Read more
Carotid artery disease 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 risk of stroke. ...Read more
Was originally told I had a dissection of my internal carotid artery.... Now being told it is a pseudo aneurism..... What exactly is the difference?
See below: An pseudoaneurysm is when there is a breach in the blood vessel (usually due to injury), but the bleeding gets trapped by the surrounding tissue forming a hematoma. A dissection is actual tearing of the layers of the carotid artery - in this case. In general terms, dissection tends to be more of a surgical issue. In both cases, treatment depends on the size, etiology of the condition. ...Read more
Stabbed: A cut internal carotid would lead to death in a minute roughly, unconscious quicker. ...Read more
My internal carotid artery spasms at siphon causing me to have tia's. Is there a way to stop the spasms, which will stop the tia's. I can have 5 a day?
Carotid arteries: This seems a worrisome issue. How was it determined specifically? Please discuss this fully with your physicin or consult a vascular specialist. ...Read more
I have a supraclinoid left internal carotid artery aneurysm? What is it and should I be worried thanks
See: Brainaneurysm. Com and taafonline. Org for good info. Seek treatment plan from a neurosurgeon. ...Read more
Does a 0.5 x 0.5 x 0.5 CM well defined saccular outpouching in the medial aspect of the supraclinoidsegment of right internal carotid artery dangerous?
My mri shows hypolastic right vertibal artery and mild irreularity along the bilaeral segment of internal carotid artery?
Low value finding.: Why? 2 reasons: 1. Spacial resolution of MRI (even more so than CT) is very low compared to the complexity of the anatomic structures named & 2. Arteries are not being visualized, only a contrast agent within the blood inside the artery. Get & study the image data yourself; compare with Netter anatomy illustrations. Irregularity is c/w artery Ds. Good quality echo of carotid walls far better. ...Read more
Left internal carotid artery is difficult to evalution in doppler study. What will be impact on health and what is cure for this.?
Well, . ...: Depending on why you even had the doppler done will answer the question. That simply means anatomically, they may not have seen the carotid well on the study. If you and your Doctor have concerns about the patency of the Artery, then a dye study could be ordered to confirm this since the doppler was inadequate. ...Read more
Internal carotid artery dissection and exercise...My dissection has mostly healed (2mm aneurysm remains) over the last 20 months. What kind of exercise can I do and at what intensity?
Ask UR cardiologist: Whoever is following you medically needs to be involved in this discussion, as their recommendations is what you'll need to follow closely. Give your doctor a call, and she what s/he says. You don't want to aggrevate the remaining 2 mm aneursym present. This is a great question, and glad you are exercising carefully! ...Read more
Can you you explain peak systolic velocity in right internal carotid artery 61.9 and 80.7 in left internal carotid?
These velocities sound normal. As your carotids narrow, the velocity of blood increases. Sort of like when you put your thumb over the end of a hose. The water moves faster and goes farther.
In many labs, the cutoff is 125cm/s. Below this, there may be some narrowing, stenosis, but it is not significant.
Discuss the results with your doctor. ...Read more
Depends on degree:
An mra can show a area of mild to severe narrowing. Usually this means that there is focal atherosclerosis of the vessel.
The consequence of the narrowing depends on how narrow the vessel is, where the vessel is, and if there are alternative routes for blood to use to reach the area of the brain affected by the narrowed blood vessel. ...Read more
Blood flow: To your brain is passing through collateral vessels. Wiki circle of willis. ...Read more
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 ...Read more
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- Internal and external carotid arteries
- External carotid artery stenosis symptoms
- Right internal carotid artery aneurysm
- Supraclinoid internal carotid artery aneurysm
- Occlusion and stenosis of carotid artery without cerebral infarction
- Carotid artery
- Occlusion and stenosis of bilateral carotil arteries