Carotid Artery Disease

What Is Carotid Artery Disease

Understanding the Condition, Symptoms and Treatment Options.

Carotid artery disease happens when the arteries in your neck become narrow or blocked. These arteries carry blood to your brain. The blockage is usually caused by a buildup of cholesterol and inflammation. If part of the blockage breaks off, it can travel to your brain and cause a stroke.

Carotid Artery Disease

Symptoms that you may experience

Call 911 or get emergency care if you notice any of the following:

    • Visual loss in one eye: Usually like a shade being pulled down
    • Speech difficulty: Hard to understand or form words
    • Facial changes: One side of the face may droop
    • Weakness: On one side of the body of an arm or leg or both
    • Balance: Sudden loss of balance with profound dizziness

These symptoms may come and go. Even if they stop, they could be a warning sign of a future stroke.

How We Diagnose It

Your doctor will perform a physical exam and listen to your neck arteries. You may also need imaging tests, such as:

  • Carotid ultrasound: uses sound waves to check blood flow
  • CT scan: takes detailed pictures of your neck arteries
  • MRI scan: shows blockages and blood flow in the brain and neck

Treatment Options

Treatment depends on how much your artery is blocked and your overall health. Your care plan may include:

Medications

  • Blood thinners (such as aspirin, Plavix or Aggrenox) to prevent clots
  • Cholesterol-lowering drugs (such as statins, PCSK9 inhibitors, Zetia, Vascepa)
  • Blood pressure control to reduce strain on your arteries

Lifestyle Changes

  • Eat a heart-healthy diet
  • Exercise regularly
  • Quit smoking
  • Manage diabetes and high blood pressure

Procedures to Open the Artery

If the blockage is severe, your doctor may recommend one of the following:

Carotid Angioplasty and Stenting

A small tube is inserted through an artery in your leg or wrist and guided to your neck. A balloon opens the blockage, and a stent (a small mesh tube) keeps the artery open. This is done with light sedation. Most patients go home the next day.

Carotid Endarterectomy

A surgeon opens the artery in your neck, removes the blockage, and places a patch to keep it open. This is done under general anesthesia. Most patients stay in the hospital overnight.

TCAR (Transcarotid Artery Revascularization)

This newer procedure uses a small incision in the neck to place a stent. It combines surgery and stenting to reduce stroke risk during the procedure.