6 doctors weighed in:

I had a stroke and both arteries in my neck are blocked. What are my treatment options?

6 doctors weighed in
Dr. Anthony Mosley
Neurology
4 doctors agree

In brief: Medication

Mledications to keep platelets from clumping may help.
Also ensure that the arteries are completely blocked (if there is even a slight opening, surgery/stenting may be possible (but not if they are completely blocked). It may be worthwhile to discuss (somewhat controversial) surgical options like eca-ica bypass with your physician if there are complete blockages of both ica arteries.

In brief: Medication

Mledications to keep platelets from clumping may help.
Also ensure that the arteries are completely blocked (if there is even a slight opening, surgery/stenting may be possible (but not if they are completely blocked). It may be worthwhile to discuss (somewhat controversial) surgical options like eca-ica bypass with your physician if there are complete blockages of both ica arteries.
Dr. Anthony Mosley
Dr. Anthony Mosley
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Dr. Michael Korona
Radiology - Interventional

In brief: Few

If carotid arteries are completely blocked then flow is by the vertebral arteries in the back of your neck.
If no symptoms continue medical therapy. Aspirin and Plavix (clopidogrel) if prescribed. If having symptoms see a vascular neurosurgeon for bypass from external carotid artery to middle cerebral artery. This is an aggressive approached.

In brief: Few

If carotid arteries are completely blocked then flow is by the vertebral arteries in the back of your neck.
If no symptoms continue medical therapy. Aspirin and Plavix (clopidogrel) if prescribed. If having symptoms see a vascular neurosurgeon for bypass from external carotid artery to middle cerebral artery. This is an aggressive approached.
Dr. Michael Korona
Dr. Michael Korona
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