Doctor insights on:
Carotid Artery Calcification Treatment
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
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
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
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
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
77yrs. CABG-'98, EF-LV 52%, Mild COPD-'12. Treatment/stable. HDL/LDL, BP, SpO2 normal. Carotid doppler-hemdynamically signifc calcific plaque, 75%?
Stroke history?: Hi. I assume you've not had a stroke or TIA; please clarify if you have. That's what you want to prevent. Regardless of your LDL and HDL, you should be on a high dose statin. Regardless of your BP, you should be on an ACE inhibitor. You should be on some anti-platelet agent (e.g., clopidogrel). You should absolutely NOT smoke (I trust you've quit!). Good luck! ...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
I have pulsatile tinnitus in left ear, and significant tortuosity of the left upper internal carotid artery below the skull base. Is there a cure?
Anatomical variant: These findings are anatomical variants and can not be really treated. The tortuous internal carotid artery is not the reason for the pulsatilla timnitis. If the circle of Willis is clean - no intervention is necessary. If you are bothered by the tinnitus you could get a hearing test and find out where you hearing, you can then get tinnitis masker from your local ent ...Read more
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
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
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
Certainly: Carotid artery dissection, a tear in the inner lining of the artery wall, is a potentially life-threatening condition. ...Read more
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
What is the treatment and prognosis for someone with a combination of carotid occlusion/stenosis and occlusion/stenosis of the basilar artery?
Depends: Artery disease in the neck vessels (carotid/basilar) is associated with risk for stroke. Your doc, vascular provider can best assess all the associated factors and give you a risk assessment. Treatments vary from medical management, nicotine cessation, stenting, surgery and combinations of them all. ...Read more
Mother 75+ with 50% blocked Carotid Arteries what is a 50 yr old sons risk with lipid fasting test with Cholesterol 5.39 and HDL ratio 3.8? Treatment?
Genetic risk.: Regardless of your numbers, this genetic risk is present and unalterable. It means you have to optimize the control of your other risk factors - blood pressure, blood sugar, cholesterol, weight - and not smoke cigarettes. Exercise regularly and maintain healthy diet practices. ...Read more
Clopidogrel for a TIA Consultant found an ordinary diseased Vein in neckand NOT Carotid Artery from the Tests. Take Fibrazate any ideas of treatment?
Not usually reported: In 35 years of medical practice, I don't think I've ever heard of incidentally finding a diseased VEIN in the neck when an ultrasound/CT/MR angiogram for carotid artery diagnosis. The most important thing to prevent if you have vein disease is a clot; you are already taking clopidogrel for this purpose. Vascular disease risk lowering (lipids, BP, non-smoking, weight, blood sugar) targets arteries. ...Read more
Is there a treatment for internal carotid artery (tortuous) with left ear constant whooshing, mitral valve prolapse too?
Yes: For the noise in your ear they make noise damper devices. There is no medication in surgery would do a lot more harm than good as long as the blood flows normal in your Carotid artery. As far as mitral valve prolapse and you do have to have more information from your doctor cardiologist regarding treatment in most prolapse and without Regurgitation mitral valve does not require any treatment ...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
Arteries to head: 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 blood to the brain. ...Read more
CEA: The gold standard for carotid stenosis is carotid endarterectomy. ...Read more
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
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
"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 stenosis: In the carotid arteries the flow of blood goes from being linear to being turbulent due to the "fork in the road" at the bifurcation. This causes the area of the proximal internal and external carotid arteries to develop plaque. This plaque leads to narrowing of the artery. The material that is causing the narrowing is fragile and can break off and cause a stroke. ...Read more
Pain in Carotids: Inflammation in the carotid arteries may cause pain. More importantly, it is critical that you see a vascular surgeon to have your carotid arteries evaluated. You will need a carotid duplex to assess the amount of stenosis in the arteries, if any. Carotid artery blockage is one of the leading causes of strokes. Have this evaluated today. ...Read more
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