Top
30
Doctor insights on: Mild Plaque In Carotid Artery

Share
1

1
Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?

Mild diffuse atherosclerotic plaques are seen w in internal carotid arteries. No hemodynamically significant carotid stenosis per ratio criteria?

Focus on risks: Mild and diffuse atherosclerosis at age 46 implies a need to focus on risk factor modification to achieve primary prevention of stroke and enhance vascular protection. Optimize lipids, avoid smoking, cand control sugar and BP issues. ...Read more

Dr. Janice Alexander
1 doctor shared a insight

Artery (Definition)

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


2

2
What will drs do about a minor plaque buildup in carotid artery?

What will drs do about a minor plaque buildup in carotid artery?

Degree: As we age some plaque is common.
The degree of narrowing is followed by duplex ultrasound and if progressive, tight, or symptoms develop, intervention or surgery may be recommended.
At your age, stop smoking, control blood pressure and cholesterol and have vascular followup. ...Read more

3

3
Can you explain results of left carotid artery is 194cm with plaque visual what should be done?

Can you explain results of left carotid artery is 194cm with plaque visual what should be done?

194 cm???: There are a number of different criteria for determining how much narrowing is in the carotid artery based on what velocities are measured. A single value would be difficult to convert to a degree of stenosis. In general the higher the velocity the greater the narrowing. A peak systolic velocity, an end diastolic velocity and a ratio between internal and common carotid velocities are needed. ...Read more

4

4
Can 30% plaque in your carotid artery cause pain in the carotid/neck area?

Can 30% plaque in your carotid artery cause pain in the carotid/neck area?

Not a sign of plaque: 30% block in your carotid artery will not cause pain in your neck area. It is an indicator that it can compromise the blood flow to the brain if gets worse. One has to control the LDL levels in blood and bring it down with statins and diet. If it prgresses to 60% or more, than you will need endarterectomy and reduce the chances of it leading to stroke. ...Read more

5

5
Can kids have plaque in their carotid arteries if our family has familial hypercholesterolemia?

Can kids have plaque in their carotid arteries if our family has familial hypercholesterolemia?

Yes: It is entirely possible to form plaque very early in life. Even persons without familial hypercholesterolemia form plaque in their aorta in their 20s as evidenced by autopsy series. ...Read more

7

7
Hello — How is possible placque detected/measured in vertebral and carotid arteries?

Hello — How is possible placque detected/measured in vertebral and carotid arteries?

Varies: There are a variety of ways. Probably to most common is to evaluate the blood flow through an artery in a test known as an ultrasound; other tests can include an angiogram, a ct angiogram, or direct visualization of the plaque in surgery. ...Read more

8

8
If I have negligible plaque in the carotid and peripheral arteries, do I need to get a carotid ultrasound?

If I have negligible plaque in the carotid and peripheral arteries, do I need to get a carotid ultrasound?

???: I am confused. How do you already know you have neglible carotid plaque without an ultrasound? Was it by ct angio? If there is reason for concern, bruit, stroke sx, it may still be of benefit. ...Read more

9

9
I was told i have small hemogen plaques in my carotid. I'm 41. What age do plaques begin to show up in arteries.?

I was told i have small hemogen plaques in my carotid. I'm 41. What age do plaques begin to show up in arteries.?

Lifestyle choices: Plaques
form in the carotid in the following manner. Fatty streaks appear, followed by formation of atherosclerosis (Cholesterol plaques). These plaques can then rupture leading to stroke and other disease. Fatty streaks have been routinely found in the autopsies of young soldiers, plaques later. To slow progression you should watch your BP, stay active, and have your cholesterol checked. ...Read more

10

10
Negligible plaque in the carotid and peripheral arteries, can I assume that it's the same for coronary artery?

Negligible plaque in the carotid and peripheral arteries, can I assume that it's the same for coronary artery?

PROBABLY AT YOUR AGE: Atherosclerosis is a systemic disease and affects vasculature all over our bodies. If non-invasive testing shows minimal plaque, AND MOST IMPORTANTLy, if you have no symptoms of chest pain/pressure, then probably you have no CAD and/or significant plaque in coronaries. ALSO, this holds if you are not diabetic. As a young person, most imp, check your lipids, address them if abnl, and healthy lifesty ...Read more

11

11
"For patients with a narrowing of an artery between 50% and 99%, it is recommended that surgery to remove the plaque carotid endarterectomy," True?

"For patients with a narrowing of an artery between 50% and 99%, it is recommended that surgery to remove the plaque carotid endarterectomy," True?

Complex: There is recent data suggesting that medication management may be as successful as surgery in stroke prevention, and there is another surgical intervention called stenting. Since patients vary and may do best with different approaches, get a few opinions prior to deciding the ultimate l pathway. ...Read more

12

12
What is the best way of getting rid of plaque already built up in your coratid artery?

What is the best way of getting rid of plaque already built up in your coratid artery?

Life style/statins: Here is the general information for reversing the plaque
1 Life style changes are most important it includes healthy diet, physical activities&exercise, if over weight loose weight and quit smoking if you do 2Medications like statins to lower your cholesterol
3 If significant plaque obstructing 50% or more may need Endarterectomy or
Angioplasty and Stents to prevent stroke
depends on % of block ...Read more

13

13
If my father just had a mild stroke, can he still have the operation to clear out his carotid artery?

If my father just had a mild stroke, can he still have the operation to clear out his carotid artery?

Yes: Yes, he can have a surgery if his carotid arteries are shown to be blocked. The operation is a carotid endarterectomy but is not offered if the carotid is 100% blocked. ...Read more

14

14
My mri shows hypolastic right vertibal artery and mild irreularity along the bilaeral segment of internal carotid artery?

My mri shows hypolastic right vertibal artery and mild irreularity along the bilaeral segment of internal carotid artery?

Low value finding.: Why? 2 reasons: 1. Spacial resolution of MRI (even more so than CT) is very low compared to the complexity of the anatomic structures named & 2. Arteries are not being visualized, only a contrast agent within the blood inside the artery. Get & study the image data yourself; compare with Netter anatomy illustrations. Irregularity is c/w artery Ds. Good quality echo of carotid walls far better. ...Read more

15

15
My ultra sound for carotid artery showed, "mild noncalcified plaquenin carotid systems bilaterally" should I be worried?-(healthy 70 year old male)

No: Only when the obstruction is around 70% or higher we recommend surgery (endarterectomy or scraping of the plaques) but we order a mra or dsa to confirm it. In the mean time you could take 81 mg of Aspirin (if not allergic or contraindicated)and lower your cholesterol as much as you can. ...Read more

16

16
Have "whooshing" in left ear that has rhythm of heartbeat & Mild vertigo when laying prone. Carotid artery test normal. Could this be inner ear prob?

Have "whooshing" in left ear that has rhythm of heartbeat & Mild vertigo when laying prone. Carotid artery test normal. Could this be inner ear prob?

Whooshing: The carotid may be completely normal and the turbulent flow you're hearing produced nearer to the left ear perhaps inside the skull. It isn't easy to deal with. Seeing you've had trouble with your cervical vertebrae increases chances its related Discuss with your Doc. ...Read more

17

17
Could blocked carotid arteries impair vision?

Could blocked carotid arteries impair vision?

Yes: It can cause a field cut (homonymous hemianopsia) in which vision is lost in the same area of the field in both eyes often described as "shade coming down"; it can also cause sudden blindness in one eye (retinal embolism). ...Read more

18

18
Could blocked carotid arteries impair vision?

Could blocked carotid arteries impair vision?

Definately: Amarosis fugax, or "fleeting blindness" is described as a curtain coming down over your eye -- this is a classic presentation of carotid artery disease. You should see your doctor right away. ...Read more

19

19
What are symptoms of blocked carotid arteries?

What are symptoms of blocked carotid arteries?

Stroke: Dizziness, visual changes. See stroke. Org for more complete list. ...Read more

20

20
What is the definition or description of: carotid arteries?

What is the definition or description of: carotid arteries?

Arteries to head: 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 blood to the brain. ...Read more

21

21
Can statins unclog carotid arteries?

Not really : Statins stabilize plaque so they are the best defense against atherosclerotic plaque. They decrease ischemic and embolic events. However, they do not reverse a stenosis. ...Read more

23

23
Please help! What happens when a carotid artery gets nicked?

Please help! What happens when a carotid artery gets nicked?

Variable: Can be many results including: nothing, blood accumulation in the neck, ecchymosis (black and blue mark), hematoma (firm mass of blood), or, in the worse case, a stroke. ...Read more

24

24
How is it that my carotid artery might hurt and how do I fix it?

Carotid Pain: Carotid artery pain is also called carotodynia. This is caused by inflammation of the arterial bulb, where the internal and external arteries divide from the common carotid artery. I recommend large doses of nsaids, such as Ibuprofen 800 mg three times / day for fourteen days. Prednisone is also generally very effective, but is used only if nsaids don't work. See your primary care healthcare provi. ...Read more

25

25
Could you tell me what happens when a carotid artery gets nicked?

"Nicked": "Nicked" is a word some physicians use to describe an unintentional injury caused in the process of providing medical care by a trained person. Depending on the extent of the injury to the carotid artery, the consequences can range from nothing to causing a stroke. This would be really unfortunate, but these things can and do happen with some regularity. ...Read more

26

26
What is carotid artery disease?

What is carotid artery disease?

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 more

27

27
What causes dilated carotid arteries?

What causes dilated carotid arteries?

Sometimes...: A dilated or aneursymal carotid on ultrasound is simply what we call a "redundant" carotid, meaning it is long and wraps on itself, so it looks bigger on ultrasound. True enlarged carotid arteries should be evaluated by a vascular surgeon. ...Read more

28

28
How can I find carotid artery for pulse?

How can I find carotid artery for pulse?

Use your fingers: If you are taking your own pulse take your second & third finger; place them over your neck below your chin and slide them to your side (opposite side of the hand you are using is easier) until you feel a pulsation. You will need to put a firm pressure to feel it. Be careful to take pulse at the neck one side at a time as if you do both sides at the same time you could get dizzy. ...Read more

29

29
How do people treat carotid artery disease?

Multiple options: If the narrowing is significant surgery or a stent are used. Before you get to that point blood pressure control, cholesterol lowering medications and blood sugar control are helpful. And obviously no smoking. ...Read more

30

30
What to do if I have carotid artery disease?

It depends: It depends on the severity. Anything along the spectrum of lifestyle changes, to medication, to surgery may be indicated. Speak with your doctor about your particular situation. ...Read more

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


Plaque (Definition)

A plaque is a broad, raised area on the skin. For example, patients with psoriasis have a lot of scaly plaques on their ...Read more