Doctor insights on:
Corotid Artery Disease
I was just told I have carotid arteries disease an I have been having pain on the right side of my head? Related?
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
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 moreSee 2 more doctor answers
Multiple modalities: Carotid ultrasound is the least invasive of the tests. Mr angiography requires a patient to lie in a confined space. The quality of the images is dependent upon no movement during the study. Ct angiography requires iodine-based contrast dye. Patients with chronic renal disease may have special preparations before their study. The gold standard is most invasive, arterial angiography. ...Read moreSee 2 more doctor answers
Ischemic stroke: Carotid artery disease usually occurs at the origin of the internal carotid artery at the neck and results from plaque build up. The main concern is that blood clots may for from turbulent blood flow this plaque causes, and the clot may travel upward and block an important brain artery, causing a stroke. It is a common found and commonly treated cause for stroke. Several options exist. ...Read moreSee 1 more doctor answer
Risk of stroke: Carotid disease is a risk factor for stroke. Prior to a stroke, a patient may have transient ischemic attacks (tias), which are brief episodes of weakness or numbness on one side of the body, coordination or speech difficulties. A specific TIA attributable to carotid disease is a brief loss of vision in one eye called amaurosis fugax. Treatment of asymptomatic carotid disease is controversial. ...Read moreSee 1 more doctor answer
Carotid Artery: Disease= a number pathologic processes that affect the carotid arteries. In common usage it generally implies atherosclerotic disease. ...Read more
Very rarely,if ever.: Usual is amaurosis fugax, like a shade coming down over the vision of one eye only, but not both.An unusual variation is bright light amaurosis, brought on in one eye when in bright light, because the extra light puts more demand on the retina.The key in all vision changes with carotid disease is that it is monocular, a point missed by most practitioners.If a symptom affects both eyes, not carotid! ...Read moreSee 1 more doctor answer
No: Using medications like anti hypercholesterol like Lipitor (atorvastatin) binging bad cholesterol or LDL to below 100 showed in some study that it can prevent progression of atherosclerosis and narrowing in carotid arteries . In minority of patients it shows very slow regression or decrease in size but not significant. If u have symptoms and more than 50% stenosis then surgery is the answer. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Yes, generally: Ultrasound is the best screening tool for carotid disease. It is non-invasive and gives flow data in real time. Carotid ultrasound is advised for people with multiple risk factors (age over 65, high blood pressure, high cholesterol, diabetes, strong family history, smoking), people with symptoms of stroke or an abnormal noise (bruit) in the neck on exam. ...Read moreSee 1 more doctor answer
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