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Doctor insights on: Carotid Artery Calcification Treatment

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Dr. Timothy Wu
Board Certified, Vascular Surgery
13 years in practice
360K people helped
1

1
Treatment for bilateral carotid artery calcifications?

Dr. Timothy Wu
Board Certified, Vascular Surgery
13 years in practice
360K people helped
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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Dr. Marsha Davis
Board Certified
23 years in practice
66M people helped
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Dr. Marsha Davis
Board Certified
23 years in practice
66M people helped
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Dr. Brandon Scott
Board Certified, Neurosurgery
12 years in practice
7K people helped
2

2
What are the treatment options for blocked carotid arteries?

Dr. Brandon Scott
Board Certified, Neurosurgery
12 years in practice
7K people helped
What are the treatment options for blocked carotid arteries?

Just depends: There are a lot of options when discussing carotid artery disease. The treatment guidelines are very strict and are based on symptoms and the degree of narrowing found on tests. The options range from observation to placing a stent or surgery to remove the blockage. It is really hard to tell which one is the right treatment until evaluated by a vascular surgeon. ...Read more

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Dr. Marsha Davis
Board Certified
23 years in practice
66M people helped
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Dr. Marsha Davis
Board Certified
23 years in practice
66M people helped
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Dr. Kenneth Cheng
Board Certified, Family Medicine
26 years in practice
18M people helped
3

3
What is the treatment for partially occluded carotid arteries, less than 50%, in a 54 year old female?

Dr. Kenneth Cheng
Board Certified, Family Medicine
26 years in practice
18M people helped
What is the treatment for partially occluded carotid arteries, less than 50%, in a 54 year old female?

Medical management: For most partial occlusions of the carotid arteries of <50%, aggressive medical management is usually all that is needed (i.e. No surgery.) this will include aggressive cholesterol control with LDL < 70 mg/dl and HDL > 45 mg/dl. In addition, blood pressure control with systolic < 130 mmhg and diastolic < 80 mmhg (<130/80). These are general recommendations; see your doctor for your specific case. ...Read more

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Dr. Matt Malkin
Board Certified, Anesthesiology
11 years in practice
955K people helped
4

4
Is it possible for the carotid arteries of my husband to clear up from 100% blockage on one side without treatment?

Dr. Matt Malkin
Board Certified, Anesthesiology
11 years in practice
955K people helped
Is it possible for the carotid arteries of my husband to clear up from 100% blockage on one side without treatment?

Not really: May develop some collateral vessels to help. Most likely he has an intact circle of willis and is getting flow from other side. Treatment will depend on what your husband and surgeon decide best meets his needs. ...Read more

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Dr. Marsha Davis
Board Certified
23 years in practice
66M people helped
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Dr. Khashayar Salartash
Board Certified, Vascular Surgery
24 years in practice
476K people helped
5

5
What is the treatment for carotid artery disease?

Dr. Khashayar Salartash
Board Certified, Vascular Surgery
24 years in practice
476K people helped
What is the treatment for carotid artery disease?

Endarterectomy: This is an operation that removes the plaque from the lumen of the artery. Traditionally this is the gold standard treatment for carotid disease. In some patients however that are high risk for surgery your doctor may recommend carotid stenting. Either way maximal medical management of peripheral vascular disease should be incorporated into the treatment paradigm. ...Read more

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Dr. Gareth Morris-Stiff
Board Certified, General Surgery
24 years in practice
70 people helped
6

6
What is the diagnosis & treatment for an inflamed carotid artery & what specialist do I need to see?

Dr. Gareth Morris-Stiff
Board Certified, General Surgery
24 years in practice
70 people helped
What is the diagnosis & treatment for an inflamed carotid artery & what specialist do I need to see?

Inflamed carotid: Inflammation as such of an artery such as the carotid is not common. If by inflammation you mean atherosclerosis then, and in particular if you have symptoms such as dizziness or stroke-like symptoms at age 34, you need to see a doctor urgently for further investigation such as an ultrasound scan. Your GP can start this process but you may need to see a cardiologist or vascular surgeon. ...Read more

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Dr. Carlo Hatem
Board Certified, Pulmonary Critical Care
20 years in practice
4M people helped
7

7
Will carotid artery disease kill me if I don't get treatment?

Dr. Carlo Hatem
Board Certified, Pulmonary Critical Care
20 years in practice
4M people helped

Stroke: Stroke is the most common complication of carotid artery disease. Some strokes are not survivable. If you have carotid disease, there is a higher chance of coronary disease as well. Coronary disease often leads to heart attacks and sudden death. ...Read more

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Dr. Peter H'doubler
Board Certified, Vascular Surgery
35 years in practice
247K people helped
8

8
What is the treatment for carotid artery stenosis?

Dr. Peter H'doubler
Board Certified, Vascular Surgery
35 years in practice
247K people helped
What is the treatment for  carotid artery stenosis?

See below: 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

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Dr. Vasudev Ananthram
Board Certified, Cardiology
27 years in practice
1M people helped
9

9
What's the most natural treatment for carotid artery disease?

Dr. Vasudev Ananthram
Board Certified, Cardiology
27 years in practice
1M people helped

Vegan diet: Vegan diet low in fat, cholesterol and concentrated sweets. ...Read more

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Dr. Yu Sun
Board Certified, Cardiology
10 years in practice
178K people helped
10

10
Will carotid artery dissection kill me if I don't get treatment?

Dr. Yu Sun
Board Certified, Cardiology
10 years in practice
178K people helped

Certainly: Carotid artery dissection, a tear in the inner lining of the artery wall, is a potentially life-threatening condition. ...Read more

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Dr. Marsha Davis
Board Certified,
23 years in practice
66M people helped
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