Doctor insights on:
Both Carotid Arteries Blocked
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
See vascular surgeon:
I suspect he means that the carotid arteries have partial blockage, usually in the form of atherosclerosis.
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. In very special instances, carotid angioplasty and stent may be an option. ...Read more
Definately: Amarosis fugax, or "fleeting blindness" is described as a curtain coming down over your eye -- this is a classic presentation of carotid artery disease. You should see your doctor right away. ...Read more
CEA: The gold standard for carotid stenosis is carotid endarterectomy. ...Read more
If your mother has 50% blocked Carotid Arteries at 75+ At what age should the Son or Daughter be checked (Screened)Are there symptoms to look out for?
Atherosclerosis: Atherosclerosis is a systemic problem, I.e. High circulating levels of bad cholesterol (LDL) deposit in different vascular beds over time. In other words, more important for u to get a fasting lipid panel and treat your cholesterol aggressively rather than query about a point in time to check for occult carotid artery disease. Additionally if u are of south Asian descent, pls not LDL <100 mg/dl. ...Read more
My brother has blocked carotid arteries and leg veins. Can physicians operate on both at the same time?
Not a good idea: Carotid occlusive disease and it's corresponding operation are very serious issues that should not be combined with surgery for varicose veins. Both have a great deal of importance but the more important and serious of the two should be addressed first-carotid endarterectomy. The varicose vein surgery can be done anytime thereafter. ...Read more
Ultrasound: By an ultrasound exam of the neck arteries. ...Read more
Carotid surgery: Carotid surgery should be done when risk of not doing so higher. Stroke risk lowest for asymptomatic stenosis, higher in those with TIAs and yet higher with prior stroke. Risk of MI can be higher than stroke risk. Slight risk of bleeding, real but low risk cranial nerve injury, low risk of surgically significant carotid renarrowing. Generally stroke risk lower for surgery, MI risk lower for stent. ...Read more
Doubtful: Unlikely, at your age, you would experience carotid thrombosis, unless you had trauma, and then, a stroke would develop. The sensation over the neck could represent muscle spasm, enlarged lymph node, or aberrant thyroid tissue. See your doc, get examined, and hopefully, get reassured. ...Read more
My carotid artery is 80% blocked and I am going in for carotid stenting next thur. Started smoking again. Am I going to be okay??
Avoid smoking: Since that is what caused it. Somewhat concerned about you getting a carotid stent at age 42 since it is reserved for high risk patients. You should discuss carotid stent vs carotid endarterectomy with your physician. ...Read more
What do you suggest if my carotid artery is 80% blocked and I am going in for carotid stenting next thur. Started smoking again am i?
2 option: Stop smoking and consider a 2 nd option. ...Read more
I had parotid surgeries 25 & 20 years ago. I recently experienced TIA. Tests show left carotid artery 30% blocked & right carotid artery 70%.?
Focus on carotids: Likely the carotid blockages are due to longstanding deposits of cholesterol and plaques along the inside of the arteries. Coukd be due to high cholesterol or genetics. This is likely what's causing your TIAs as these arteries are the main source if blood into the brain. The lack of blood to the brain can cause TIAs and eventually full strokes. Discuss your options with your doc for treatment ...Read more
Both at the same tim: Factors causing one cxause they other: smoking, bad cholesterol issues, increased blood pressure, diabetes, and several less liekly other, like homocysteinemia. These causitive factors need be treated. Both carotid blockage or coronary ischemia may require intervention, surgically. ...Read more
Unlikely related: It's unlikely related, however she should see her PMD to make sure this is not related to small strokes (TIAs) ...Read more
Is it worth it for an eighty-seven year old alzheimer's patient to have surgery to clear a blocked carotid artery?
Ethical issues: From one vantage point, withholding a common procedure because of a disability is bad. However, any intervention with a level of risk must be worth while to the quality of life of the patient. If it just prolongs the process of dying, without an improvement of life, it is unfair to all involved. ...Read more
Blood flow: To your brain is passing through collateral vessels. Wiki circle of willis. ...Read more
My father is 80 years old. He has a carotid artery that a screening has shown to be 90% blocked. Should he consider surgery?
Benefits vs Risks: Generally any blockage greater than 70% or those with symptoms of carotid artery disease should be surgically repaired. However given your father's age any pre-existing medical problems should be taken into account prior to surgical intervention. A vascular surgeon and your father's primary physician can collaboratively decide if the benefits of surgery outweigh the risks. ...Read more
On/off pain on side of neck that goes to ear/head area. Where carotid artery is, Does that mean it's blocked? I'm only 21.It's on the right side
Can you survive with one carotid artery? I'm not talking about a blocked one. I'm talking about not having one period.
Common anomaly.: An absent carotid artery, believe it or not, isn't uncommon (between 1 to 3% of people have it). Blood flow to the brain goes via the carotids as well as the 2 vertebral arteries. In the brain, they form a "circle of Willis" so that less blood flow thru one artery is compensated by more flow thru the others. For those w/o 1 of the 4 arteries, the others get bigger & supply the whole brain. ...Read more
Yes: Cta is a good test to evaluate the vessels of the neck and brain. You can have blockages in the vessels inside your head. ...Read more
Should an eighty-seven year old alzheimer's patient have thoracic surgery to clear a blocked carotid artery?
Only if symptomatic: Age or pre-existing conditions, outside of terminal disease, should not be a contraindication for intervention. Medical management is the primary treatment for carotid disease, followed by medical and interventional therapy. In an 87 year old, surgery would be preferred if indicated. ...Read more
My mom is 90 years old with asymptomatic 80% blocked carotid artery. On Aggrenox. BP and cholesterol well controlled. ? Advise surgery tX or stent?
CEA or nothing: Carotid stents are relatively contraindicated in > 80 yrs old; CEA (endarterectomy) is high risk but safe in competent hands. The risk of heart attack is elevated in CEA pts > 80 yrs old, while stroke was higher (and more disabling) w/ stents (cas). In pts > 80 yrs old w/ good heart, lungs, and kidney fxn, CEA is tolerated well. Aspirin & Plavix (clopidogrel) is not superior to stroke prevention v. Cea. ...Read more
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 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
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