Doctor insights on:
Left Carotid Artery Blockage
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 moreSee 2 more doctor answers
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
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 moreSee 1 more doctor answer
I have been occasionally waking up with dim vision in left eye. I have a 60% blockage of my carotid artery on the left. Could this be the cause?
Maybe: Amaurosis fugax is what you are referring to. The plaque in the carotid artery can shed particulate matter upstream, and when this enters the artery going to the same side eye, typical symptom of "shade coming over the eye" is experienced. Visiting an eye doctor may help make this diagnosis. ...Read moreSee 2 more doctor answers
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
How likely would it be that both Carotid arteries <50% Occluded will progress on medication
to a higher percent blockage over a year in a female 75+?
Carotid blockage.: It's not the presence or absence of the medication that matters. It's the efficacy of the medication that matters. How well are BP, blood sugar, cholesterol and weight controlled? Are we smoking cigarettes? Blockage will progress if risk factors for progression are not adequately controlled. ...Read more
Yes: The short answer is yesGet a more detailed answer ›
Carotid disease: If angiogram was "fine" then you must not have any. The best way is to get a piece of the blockage in the carotid and look at it under a microscope. Most common cause would be vascular damage (rust) from smoking, high blood pressure, high lipids or old trauma. Happy to do 2nd Opinion to help narrow this down in you. ...Read more
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