13 doctors weighed in:
How do people treat carotid artery disease?
13 doctors weighed in

Dr. Olivier Frankenberger
Internal Medicine - Cardiology
11 doctors agree
In brief: 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.

In brief: 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.
Dr. Olivier Frankenberger
Dr. Olivier Frankenberger
Thank
1 comment
Dr. Linda Harris
If you have disease in your carotid artery, you should be on aspirin or plavix or both unless there is a reason not to take the medicines. You should not smoke. You should be on statin medications if possible. It is important to see a vascular surgeon to optimize your management of the disease. Surgery is reserved for moderate to severe blockages, depending on the presence of symptoms.
Dr. Michael Korona
Radiology - Interventional
3 doctors agree
In brief: Risk factor control.
No smoking.
Eat right. Colesterol and blood pressure control. Aspirin if ordered by your doctor. Follow up ultrasounds of the carotid arteries.

In brief: Risk factor control.
No smoking.
Eat right. Colesterol and blood pressure control. Aspirin if ordered by your doctor. Follow up ultrasounds of the carotid arteries.
Dr. Michael Korona
Dr. Michael Korona
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Dr. Arthur Sands
Family Medicine
1 doctor agrees
In brief: Medical or surgical
Agressive medical therapy has been shown to be a better rx than stents or endarterectomy unless there is severe obstruction - greater than 80% - also b mode ultrasound can show whether the plaque is stable (calcified ) vs soft.
Soft plaque is much more likely to break up and cause stroke. BP control 120/80 or less + aggressive cholesterol rx - i aim for a total cholesterol/hdl ratio of 2.5 or less.

In brief: Medical or surgical
Agressive medical therapy has been shown to be a better rx than stents or endarterectomy unless there is severe obstruction - greater than 80% - also b mode ultrasound can show whether the plaque is stable (calcified ) vs soft.
Soft plaque is much more likely to break up and cause stroke. BP control 120/80 or less + aggressive cholesterol rx - i aim for a total cholesterol/hdl ratio of 2.5 or less.
Dr. Arthur Sands
Dr. Arthur Sands
Thank
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