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Doctor insights on: Carotid Artery Stenosis Treatment

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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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Dr. Gary Pess
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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Is carotid stenosis reversable?

Is carotid stenosis reversable?

Not really : We don't have therapies to "melt plaque", but there are treatments to stabilize atherosclerotic plaque. These include Aspirin and aca inhibitors which can be very effective in treating non symptomatic carotid stenosis. The exception to this rule is if you have a severe stenosis greater than 60 percent the current data supports treatment (endarterectomy v. Stent). ...Read more

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What is carotid artery stenosis and stroke?

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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Treatment for bilateral carotid artery calcifications?

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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Is vertebral artery dissection curable?

Is vertebral artery dissection curable?

Generally not: The 2 vertebral arteries arise from the left and right subclavian arteries and supply the brainstem and cerebellum. Dissection is rare (2.5/100, 000), affect women to men 3:1 and can cause stroke in people head trauma, yoga, painting a ceiling. 50% have hbp. Treatment is supportive. Blood thinners are used if bleeding is ruled out. Surgery is not usually an option. ...Read more

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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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Is 700/0 carotid artery narrowing a TIA symtom?

Is 700/0 carotid artery narrowing a TIA symtom?

Not clear: Your question is not clear. Please reframe the question to get correct answer. ...Read more

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Can carotid artery dissection be cured?

Yes: The vast majority of carotid dissections will heal in their own. The dissection should be followed with ultrasound to monitor the vessel for development of pseudo aneurysm formation. ...Read more

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What is carotid artery disease?

What is carotid artery disease?

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

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How effective is coronary artery bypass surgery for treating coronary artery disease (CAD)?

How effective is coronary artery bypass surgery for treating coronary artery disease (CAD)?

Coronary artery dise: CABG is very effective at improving the symptoms of CAD in appropriate patients. Generally over 90% get good relief of symptoms sometimes for many years. The actual disease process isn't treated so CABG must be associated with diet, exercise and drug therapy long term. for the best results. ...Read more

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What's carotid stenosis?

What's carotid stenosis?

Narrowing of artery: The term refers to the narrowing of the carotid arteries which supply blood to the brain. This narrowing is usually caused by the buildup of fatty substances and cholesterol deposits, called plaque. Carotid artery occlusion refers to complete blockage of the artery. When the carotid arteries are obstructed, you are at an increased risk for a stroke, the third leading cause of death in usa. ...Read more

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With single vessel luminal (phenobarbital) narrowing coronary artery disease what percent requires angio?

With single vessel luminal (phenobarbital) narrowing coronary artery disease what percent requires angio?

CAD: If a suspicion of significant CAD is present (symptoms or abnormal stress study), angiography might be indicated. Intervention might be indicated if a blockage of greater than 70% is present. ...Read more

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Is surgery for blocked carotid artery dangerous?

Is surgery for blocked carotid artery dangerous?

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

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Is stenting or carotid endarterectomy better?

Is stenting or carotid endarterectomy better?

Carotid intervention: CEA has lower stroke risk than stent, stent has lower risk of MI and cranial nerve injury. Each suitable at times. Best to go to provider that can do either. CEA generally better for standard risk patients, stent generally best if patient has had neck radiation, tracheostomy, or prior CEA. Can get biased view if provider can only do one or the other. Go to someone that can advise on risk/benefit. ...Read more

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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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Can Triple vessel coronary artery disease treated with angioplasty and placement of stents?

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Triple vessel coronary artery disease treated with angioplasty and placement of stents?

Angioplasty: The treatment of multivessel disease depends on many factors. If you have triple vessel disease you should discuss your status with your cardiologist and ask the options open to you. ...Read more

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Dr. Creighton Wright
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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