Doctor insights on:
How Do People Treat Carotid Artery Disease
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
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
Doctors please advise. Is it ok to press your carotid to ck pulse if you have carotid artery disease?
Ok but: There is truly no association between pressing on the carotid artery and increase risk of stroke in my opinion except if the patient has more than fifty percent stenosis and he is symptomatic because in this special situation the plaque in the carotid artery can be friable and pressing on it can cause another attack. ...Read moreSee 1 more doctor answer
NO.: The carotid artery in the neck forks into two branches at the ear level. Just as in a river fork, flow at the fork is turbulent. This turbulence is what some people hear, even though there may be no narrowing in the artery. Next time you see your doctor have him/her listen over the carotid artery. If there is a bruit (swishing noise) there, an ultrasound study should be obtained. ...Read moreSee 1 more doctor answer
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