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Doctor insights on: Left Carotid Artery Blockage Symptoms

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

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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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?

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 more

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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

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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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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+?

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

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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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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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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