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Doctor insights on: Cartoid Artery Blockage

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What does intimal thickening of the carotid artery mean when thrre is no blockage?

What does intimal thickening of the carotid artery mean when thrre is no blockage?

Somewhat unclear: Blockages in the carotid artery of a certain severity may increase one's risk of stroke. For those carotid arteries without a blockage, some physicians measure the intima (the inner-most lining of the artery) and derive a value called the imt, or intimal-medial thickness. It's supposed to help us determine severity of atherosclerosis, but this is somewhat controversial. ...Read more

Dr. Sheila Smith
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Artery (Definition)

Arteries are a type of blood vessels. We can divide blood vessels into 2 categories. Arteries are high pressure vessels which deliver (red) oxygen + blood out into the body. Veins on the other hand or low pressure vessels which return (dark) oxygent - blood from the body ...Read more


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I have a carotid artery blockage. If I watch my diet from now on, will the blockage go away?

I have a carotid artery blockage. If I watch my diet from now on, will the blockage go away?

Unlikely: Diet alone will most likely not make the blockage go away. Medical management with Aspirin or Plavix (clopidogrel) (anti-platelet agents) and cholesterol lowering meds (statins) will give you the best results. ...Read more

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Is a moderate to severe blockage in left carotid artery dangerous?

Is a moderate to severe blockage in left carotid artery dangerous?

Carotid blockage: If asymptomatic with use of proper medical therapy a moderate carotid blockage is fairly low risk. Many vascular surgeons would favor no intervention in this situation. If symptomatic, would recommend repair of this. Options include stenting or open surgery, carotid endarterectomy. Best data suggests that stenting over age 65 -70 has higher risk of stroke than endarterectomy. ...Read more

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How reliable is ultra sound for detecting carotid artery blockage?

Excellent: Ultrasound duplex imaging of the cervical carotid arteries is very good at determining significant arterial narrowing. Changes in the flow patterns of the carotid arteries can also suggest disease in the internal carotid arteries further on in at the skull base even though the arteries themselves cannot be seen at that level. ...Read more

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I have 69% blockage in the left carotid artery. I also have dizzy fainting spells. What should I do?

Be evaluated: A 69% carotid artery blockage on one side isn't enough to cause dizziness/ fainting spells. Is it low blood pressure, anemia, a middle ear problem? It's best to have your internist work through the possible causes. With regard to your cerebral circulation, it would be helpful to know how your vertebral arteries look. A simple ultrasound can evaluate these arteries which supply the balance center. ...Read more

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Can a carotid artery bruit sound come and go? Does it mean you have a blockage?

Can a carotid artery bruit sound come and go?  Does it mean you have a blockage?

Yes: Yes bruit can come and go .. Having bruit is not sensitive test to associate with significant stenosis of the carotid artery but if u have bruit u can get a duplex ultrasound test to assess the blockage. ...Read more

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Would an echocardiogram and stress test show if there was a blockage or problem in the carotid arteries?

Would an echocardiogram and stress test show if there was a blockage or problem in the carotid arteries?

No: U need bilateral carotid ultrasound study to evaluate carotid artery disease or blockage. An echocardiogram will evaluate functional and structural anatomy of the heart, while a stress test show the functional capacity of the heart. ...Read more

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I have 70 percent blockage and doctor. Wants to cean. Out my carotid. Artery. And i am. Frightened of stroke I have heard of three people.Who had ?

I have 70  percent blockage and doctor. Wants to   cean. Out my carotid. Artery. And i am. Frightened of stroke I have heard of three people.Who had

?

Need Surgery: Acas trial in United States showed benefit of surgery for over 60% stenosis with risk reduction over 5 years. You want to make sure that you see experienced vascular surgeon.If you are a good anesthetic risk you should do fine and be able to go home day after surgery. ...Read more

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