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Doctor insights on: Carotid Artery Stenosis Treatment

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What is the treatment for carotid artery stenosis?

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. Milton Alvis Jr
1 doctor shared a insight

Artery (Definition)

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


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Who gets carotid artery stenosis?

Who gets carotid artery stenosis?

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

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Are there meds for carotid artery stenosis?

Are there meds for carotid artery stenosis?

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

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What is carotid artery stenosis and stroke?

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

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What causes carotid artery stenosis?

What causes carotid artery stenosis?

Atherosclerosis: Usually it is the result of the build up of atherosclerotic plaques over time due to the buildup of cholesterol. ...Read more

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Please tell me, are there meds for carotid artery stenosis?

Please tell me, are there meds for carotid artery stenosis?

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

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What is the definition or description of: carotid artery stenosis?

What is the definition or description of: carotid artery stenosis?

Artery blockage: 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

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Could you explain what is carotid artery stenosis and stroke?

Could you explain what is carotid artery stenosis and stroke?

Narrowing: Carotid stenosis means narrowing of the carotid artery. This can cause decreased blood flow to the brain and result in a stroke. Plaque build up at the site of narrowing can also cause plaque pieces flow up to the brain and cause stroke. ...Read more

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Do you know the data sheet for examination of a patient of carotid artery stenosis?

Variable: Carotid evaluations can be done with physical exam, ultrasound(doppler) and ct, mra and angiography in properly selected patients. The dat-results are presented in variable formats but leading to degree of narrowing(stenosis) or irregularity(ulceration). ...Read more

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Could you know the data sheet for examination of a patient of carotid artery stenosis?

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

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Carotid artery stenosis is how common at which age groups?

Above 50 : There is different numbers depending on age ( more common above 50), sex ( more common in males), presence of symptoms and severity of stenosis . Generally incidence of asymptomatic more than 50% stenosis in people above 50 years of age is around 6-11% in men and 5-7% in women. ...Read more

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Could carotid artery stenosis cause sciatica nerve pain?

NO: Carotid artery is in neck and sciatica pain is in back and leg. There is no correlation at all. ...Read more

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Are there meds for carotid artery stenosis, or is it surgery or nothing?

Depends on details: Not every case of carotid stenosis requires surgery. The vast majority are best treated with medical management. Discuss with your doctor. ...Read more

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Can carotid artery stenosis cause increased brain pressure if left untreated?

No: No. Carotid stenosis is the blockage of blood flow to the brain which significantly increases the risk of stroke. A blockage in the carotid artery would more likely decrease blood flow/pressure in the brain. ...Read more

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What is the treatment and prognosis for someone with a combination of carotid occlusion/stenosis and occlusion/stenosis of the basilar artery?

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

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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?

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?

Peak velocity: Sometimes what is being recorded is not the velocity in the internal carotid but an adjacent artery such as external carotid . This could also be related to high flow situations or other technical factors. ...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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What are the treatment options for blocked carotid arteries?

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. Creighton Wright
78 doctors shared insights

Carotid Artery Stenosis (Definition)

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


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