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Doctor insights on: Occluded Carotid

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I have a 100% occluded right intercranial internal carotid and a 50% narrowed left intercranial carotid. At what point is the left a worry?

I have a 100% occluded right intercranial internal carotid and a 50% narrowed left intercranial carotid.  At what point is the left a worry?

Symptoms: If you have symptoms of a TIA ("ministroke") or 70% or more narrowing on the left. Meanwhile, the person you're describing should be on aspirin or plavix and a statin drug (to lower cholesterol) with optimal blood pressure. ...Read more

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What does it mean for me when my carotids are 95% occluded on ultrasound?

What does it mean for me when my carotids are 95% occluded on ultrasound?

95% Blocked: Ultrasound is a great way to determine how blocked the carotid arteries are. It turns out that the more blocked they are the greater the risk for a stroke. Even if you are not having a symptoms (mini-stroke or actual stroke), a blockage of 80% or greater is enough to warrant a carotid endarterectomy. If you are having symptoms, then a blockage of 50% or greater is enough to warrant surgery. ...Read more

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I have bilateral carotid artery dissections that are 100% occluded for 1 year. Is it possible they will recanalize after so long?

I have bilateral carotid artery dissections that are 100% occluded for 1 year.  Is it possible they will recanalize after so long?

Yes: But it is unlikely. If you have survived one year with both carotid arteries occluded by dissections you are very lucky. If you have no symptoms you might get away without surgery. Do you have other diseases or any symptoms? ...Read more

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What is the treatment for partially occluded carotid arteries, less than 50%, in a 54 year old female?

What is the treatment for partially occluded carotid arteries, less than 50%, in a 54 year old female?

Medical management: For most partial occlusions of the carotid arteries of <50%, aggressive medical management is usually all that is needed (i.e. No surgery.) this will include aggressive cholesterol control with LDL < 70 mg/dl and HDL > 45 mg/dl. In addition, blood pressure control with systolic < 130 mmhg and diastolic < 80 mmhg (<130/80). These are general recommendations; see your doctor for your specific case. ...Read more

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I have a 100% occluded carotid artery. When should I consider surgery?

Never, most of time: Total occlusion is rarely treated and if treated it is with temporal artery to middle cerebral artery bypass (done very very rarely). Just follow stenosis of other side. ...Read more

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My carotid has a 60% occlusion - when do I have to have a stent place in it?

Usually 70%: How did you find out that your artery is 60% occluded. Usually guidelines state that you do not need a stent placed until you are having symptoms (lightheadedness/dizziness, vision loss, etc) and it is 70% occluded. Depending on your situation, however, your primary doctor or cardiologist may have a different discussion with you. It is best to also get their opinion. Best wishes. ...Read more

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What are the grades of carotid stenosis?

What are the grades of carotid stenosis?

Generally: Generally the major trials regarding decision making in carotid stenosis provide guidance at: 1) 70%, and 4) occluded (100%). There are many other grades that have been developed and discussed, but their clinical utility from the vascular surgeon's perspective is limited. Discuss further with a board certified vascular surgeon. ...Read more

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