12 doctors weighed in:

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

12 doctors weighed in
Dr. Kenneth Cheng
Family Medicine
7 doctors agree

In brief: 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.

In brief: 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.
Dr. Kenneth Cheng
Dr. Kenneth Cheng
Thank
2 comments
Dr. Danny Proffitt
One may want to add low dose aspirin in this scenario.
Dr. Kenneth Cheng
Excellent recommendation from Dr. Proffitt.
Dr. Khashayar Salartash
Surgery - Vascular
4 doctors agree

In brief: Observation

As long as there are no symptoms a 50% stenosis of the internal carotid arteries should be followed with an ultrasound every six months.
If there are symptoms then the treatment may involve surgery. Please seek the opinion of a vascular surgeon with expertise in carotid disease.

In brief: Observation

As long as there are no symptoms a 50% stenosis of the internal carotid arteries should be followed with an ultrasound every six months.
If there are symptoms then the treatment may involve surgery. Please seek the opinion of a vascular surgeon with expertise in carotid disease.
Dr. Khashayar Salartash
Dr. Khashayar Salartash
Thank
Dr. Alan Koslow
Surgery - Vascular
3 doctors agree

In brief: ASA 81/D rescan 1 yr

The risk of stroke is not sign.
Greater then general pop. However risk of progression is great. Stop smoking. Take statin (regardless of cholestorol level). Have repeat scan every 1-2 years. If you have TIA (mini stroke, transient ischemic attack) you need repeat scan within 3 days and carotid surgery within 2 weeks as risk of major stroke is highest in first 6 weeks after tia.

In brief: ASA 81/D rescan 1 yr

The risk of stroke is not sign.
Greater then general pop. However risk of progression is great. Stop smoking. Take statin (regardless of cholestorol level). Have repeat scan every 1-2 years. If you have TIA (mini stroke, transient ischemic attack) you need repeat scan within 3 days and carotid surgery within 2 weeks as risk of major stroke is highest in first 6 weeks after tia.
Dr. Alan Koslow
Dr. Alan Koslow
Thank
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