Doctor insights on:
Medicine For Carotid Artery Stenosis
Elderly Hypertensive: Carotid stenosis usually occurs secondary to longstanding atherosclerosis. Risk factors include high blood pressure, diabetes, and coronary artery disease. It takes time for atherosclerotic plaques to develop, so most patients with carotid artery stenosis are older adults. ...Read more
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
Yes: Patient with carotid stenosis should be on anti platelet medicine like Aspirin or Plavix, also if tolerated, must be on a statin (cholesterol lowering medicine) like Lipitor (atorvastatin) to stabilize atherosclerotic plaque and prevent its progression to worse stenosis. In cases of symptomatic carotid stenosis above 50% then surgery is better than just medical treatment. ...Read more
Yes: You should be on an Aspirin and a statin. Both lower your risk of a stroke, but neither will make the carotid stenosis go away. ...Read more
Carotid artery stenosis means that the carotid arteries have blockage, usually in the form of atherosclerosis. This can cause stroke. The more severe the blockage, the greater the risk
in the absence of neurological symptoms, most cases can be handled with medicine and close periodic follow up by a vascular surgeon. However, if the blockage is more than 80%, surgery will reduce the stroke risk. ...Read more
2 things: Carotid artery stenosis means narrowing of the artery. Stroke is death or damage to brain due to circulatory issues. Many strokes (approx 1/3rd) are due to carotid artery disease. Although frequently connected, they are not the same. Many strokes occur without carotid stenosis. Many carotids are completely occluded (slowly) without resultant strokes. ...Read more
Unclear: I'm not clear what you're asking? If carotid stenosis is suspected, the neck is auscultated for bruits. The pt is queried for neurologic deficit and, if appropriate, a neurologic exam is done. Duplex ultrasound exam of the neck is done. If necessary, a ct, mra, or angiogram may be necessary in selected cases. ...Read more
Carotid artery disease means that the carotid arteries have blockage, usually in the form of atherosclerosis. This can cause stroke. The more severe the blockage, the greater the risk
in the absence of neurological symptoms, most cases can be handled with medicine and close periodic follow up by a vascular surgeon. However, if the blockage is more than 80%, surgery will reduce the risk of stroke. ...Read more
What could cause peak systolic velocity of right internal carotid artery to be elevated to 130cm/s but no elevation in left ica & no stenosis found?
Narrowing: "stenosis" means narrowing. Most commonly stenosis of the carotid artery is from atherosclerotic disease, or hardening and buildup of plaque within the artery itself. Atherosclerotic disease of the carotid artery is implicated in stroke and is best monitored by a vascular surgeon, who can easily follow the degree of narrowing by ultrasound on a periodic basis. ...Read more
What does it mean when you have 1-15% stenosis of right and left internal carotid artery and that clinical correlation recommended?
Mild narrowing: The cutoff for a signicant or abnormal is 50% narrowing or greater. Minor narrowing < 30% is considered normal. Clinical correlation means to ask your doctor what the test means for you as an individual. ...Read more
No evidence of hemodynamically significant stenosis on either side. 50% stenosis right internal carotid artery, 50-69% left. What could I expect next?
I have less than 50% stenosis of the bilateral internal carotid arteries by nascet criteria, should I be concerned?
Generally no: This is mild/moderate blockage and rarely associated with symptoms. Treatment is usually Aspirin and a statin. Do not smoke! Follow up with carotid ultrasound every few years. ...Read more
Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?
Bilateral high flow in common carotid artery and internal carotid artery with normal end diastolic velocity and no stenosis. Is this normal?
How high is high?: Increased flow without stenosis can happen if the cardiac output is very high or there is tortuosity if the arteries Generally don't worry until systolic velocity is over 200 cm/sec and even then it is probably ok with normal diastolic velocity why did you get the test? IF you are asymptomtic I would not worry too much ...Read more
Can past vad - vertebral arterty dissection cause stenosis or a bruit in the carotid artery? Or any other stress to local arteries? What is the path?
Not usually: A bad trauma can cause dissection of vertebral and carotid arteries at the same time but rare. Carotid bruit can indicate a stenosis which is usually atherosclerosis. Fibromuscular dysplasia can cause narrowing. Fmd is usually in women. Fmd can affect the vertebral arteries and the carotid arteries. Fmd can cause dissection in vertebral and carotid arteries. ...Read more
What is the probability of stroke with both mitral valve regurgitation and stenosis of carotid artery?
Carotid v. Mitral: The carotid disease if stenosed (>80%) warrants surgical consideration as risk of stroke is increased. The mr, if miderate to severe, poses a risk for congestive heart failure not stroke. If not allergic or have issues with platelet function, daily Aspirin 81mg is recommended for atherosclerosis. ...Read more
How can a dopplar test and mra on a carotid artery show different results dopplar-no blockage mra-severe stenosis happened to my husband now cta next?
Which is the most accurate test to measure stenosis of the Carotid Arteries expressed in percentage or grading, CT, MRI, CTA or Ultrsound?
Husband had eye stroke had dopplar & mta dopplar showed blood flow no blockage mta showed severe stenosis carotid artery how does this happen next cta?
Carotid stenosis: If severe, greater than 60%, then you should consider a potential entarterectomy or even stunting to prevent additional stroke events. Some evidence to suggest also, potential benefit of anti-platelet medication such as Aggrenox and a statin. Discuss with a stroke neurologist, and a vascular surgeon. ...Read more
What is the surgery proceedure to remove stenosis in the left carotid artery where it comes out at the top of the aorta?
There are several:
If you mean a stenosis in the common carotid off the aorta, the procedure would either be a stent or a carotid (or innominate) endarterectomy.
Much more common is a carotid endarterecomy, however this occurs where the internal carotid comes off the common carotid, not the aorta. ...Read more
What is the treatment and prognosis for someone with a combination of carotid occlusion/stenosis and occlusion/stenosis of the basilar artery?
Depends: Artery disease in the neck vessels (carotid/basilar) is associated with risk for stroke. Your doc, vascular provider can best assess all the associated factors and give you a risk assessment. Treatments vary from medical management, nicotine cessation, stenting, surgery and combinations of them all. ...Read more
Carotid artery stenosis means that the carotid arteries have blockage, usually in the form of atherosclerosis. This can cause stroke. The more severe the blockage, the greater the risk in the absence of neurological symptoms, most cases can be handled with medicine and close periodic follow up by a vascular surgeon. However, if the blockage is more than 80%, surgery will ...Read more
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