Endarterectomy. This is an operation that removes the plaque from the lumen of the artery. Traditionally this is the gold standard treatment for carotid disease. In some patients however that are high risk for surgery your doctor may recommend carotid stenting. Either way maximal medical management of peripheral vascular disease should be incorporated into the treatment paradigm.
Depends. On amount of blockage and symptoms. Take BP meds and statins if ordered. No smoking. Take Aspirin or Plavix (clopidogrel) if ordered. If severe blockage, more than 80%, or symptomatic with blockage more than 50% can have endarterectomy or stent.
Clean out arteries. Carotid artery disease means that there is enough atherosclerotic plaque in the artery to put the person at high risk of having a stroke. Cleaning out the plaque is the most effective way to reduce the stroke risk. This operation is called endarterectomy. Like coronary artery disease, cholesterol lowering drugs may be helpful.
Vegan diet. Vegan diet low in fat, cholesterol and concentrated sweets.
Control risk factors. If the blockage is not severe, and there are no symptoms, management includes risk factor control. Cholesterol should be lowered- which can be done with diet. However, statin medications, which lower cholesterol, have been shown to decrease stroke risk and stabilize plaque. Aspirin, and other antiplatelet medications can also decrease the risk of stroke.
Stroke. Stroke is the most common complication of carotid artery disease. Some strokes are not survivable. If you have carotid disease, there is a higher chance of coronary disease as well. Coronary disease often leads to heart attacks and sudden death.
No. If you have carotid stenosis that is of significance then you should have surgery to remove the blockage. The degree of stenosis that makes you a candidate for surgery varies for symptomatic patients as opposed to symptomatic patients. The goal however is to prevent stoke.
Stroke. Blockage in the carotid artery can cause stroke especially if the stenosis is more than fifty percent.
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.
See your doctor.. Aspirin often prescribed. Sometimes plavix (clopidogrel) if you are symptomatic. A statin is often needed to control cholesterol and to stabilize the plaque in your neck. Follow up carotid doppler test. Control high blood pressure. Control blood sugar and diabetes. Time to start exercising if ok with your doc. NO smoking please:)
Multiple approaches. Depending on the severity and degree of disease and percent of blockage, a carotid endarectomy may be warranted. However, even with surgery, medical and lifestyle treatments are part of overall treatment plan. Stop smoking, optimize/control your blood pressure, cholesterol, and diabetes are crucial to long term management. Antiplatelet therapy such as aspirin and Plavix (clopidogrel) may be prescribed.
See Vascular Surgeon. Vascular Surgeons are considered "experts" in medical, surgical, & interventional management of carotid artery disease. If the disease is significant (ask you primary doctor), then seek consultation. Medical therapy includes aspirin, statin drug, smoking cessation, low fat diet, & hypertension control. If stenosis is severe then would be considered for surgery or stent of the artery. Ultrasound.
Multiple modalities. Carotid ultrasound is the least invasive of the tests. Mr angiography requires a patient to lie in a confined space. The quality of the images is dependent upon no movement during the study. Ct angiography requires iodine-based contrast dye. Patients with chronic renal disease may have special preparations before their study. The gold standard is most invasive, arterial angiography.
Imaging. There are a variety of non invasive imaging modalities that can be used to identify carotid artery disease. These include ultrasound, MRI and ct techniques. Angiography is often used as a confirmatory test when the above studies suggest narrowing.
See. Carotid disease at www. Sirweb. Org for good info.
Ultrasound. The first and easiest test is the carotid ultrasound. This will identify if there is any carotid disease. I there is significant disease the most vascular surgeons would recommend either ct angiography or mr angiography.
Duplex ultrasound. First best test is duplex ultrasound. Other test like ct angiogram or mr angiogram could be done. The most invasive but gold standard is conventional arteriography.
Start. With physical exam and carotid ultrasound. Cta or mra may follow. See stroke and carotid disease at www. Sirweb. Org for good info.
Ischemic stroke. Carotid artery disease usually occurs at the origin of the internal carotid artery at the neck and results from plaque build up. The main concern is that blood clots may for from turbulent blood flow this plaque causes, and the clot may travel upward and block an important brain artery, causing a stroke. It is a common found and commonly treated cause for stroke. Several options exist.
Range of findings. A milder form of carotid artery disease is transient ischemic attack, or tia, which can lead to visual symptoms of intetrmittent brown out or darkened vision, called amaurosis fugax. If you have these epeisodes, see your eyemd right away.
Yes, generally. Ultrasound is the best screening tool for carotid disease. It is non-invasive and gives flow data in real time. Carotid ultrasound is advised for people with multiple risk factors (age over 65, high blood pressure, high cholesterol, diabetes, strong family history, smoking), people with symptoms of stroke or an abnormal noise (bruit) in the neck on exam.
Yes. Doing an ultrasound test or what is called duplex ultrasound is the best non invasive test to diagnose carotid disease. Sometime you may need additional testing with ct scan, MRI or even an angiogram which is the most invasive but most most accurate test.
Probably. High blood pressure. Get check up.
No. Carotid artery disease usually become symptomatic when an embolus or clot goes to the brain and cause stroke or mini stroke. Hearing pulse in the head does not indicate the presence or absence of disease.
Could be... Sensing or even hearing a pulse or "whooshing" noise in your head is not a common sign of carotid artery disease - but I have seen it. It could also be a sign of a vascular malformation or fistula near the inner ear. It also could be a sign of high blood pressure. Get it checked out.
Possibly. If you develop transient visual disturbance like curtain coming down your eye, it may well be early sign of carotid disease so see your doc soon.
Possible. Typical eye symptoms of significant carotid disease is loss of vision/ or part of the visual field in one eye which is called amaurosis fugax. If you experience that then you need to be checked by your physician with carotid duplex ultrasound. Spots can still be a sign but you better be checked by an ophthalmologist.