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How to Treat Carotid Artery Disease

  • Medications
    • Blood thinners: Aspirin, Plavix, Aggrenox
    • Cholesterol therapy: Statins, PCSK9 inhibitors, Zetia, Vascepa
    • Blood pressure control
  • Diet
  • Exercise
  • Smoking Cessation
  • Procedures to Fix Blocked Arteries
  • Angioplasty and Stent
    • Small tube placed in the leg or wrist artery and taken up to the neck arteries. Pictures taken of the neck arteries. Blockages moved out of the way with a small balloon and then a stent is used to keep the artery open and trap the blockage. Procedure done with mild sedation. Usually stay in hospital overnight.
  • Carotid Surgery (Endarterectomy)
    • Surgeon opens the artery and removes the blockage, then covers the area with a patch. Done with full anesthesia. Usually stay in hospital overnight.
  • TCAR (Transcarotid Artery Revascularization)
    • Newer procedure in which a small surgery is done in the neck to gain access to the artery and then a stent is placed.