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Carotid Disease

The carotid arteries are the vessels in the neck that carry blood from the heart and lungs to the head. These arteries, like others in the human body, can become thickened and lose their elasticity. Plaques build up on the inside wall of the vessel, blocking blood flow to the brain. This is often referred to as hardening of the arteries. If this blockage is severe enough, it can cause symptoms such as:

  • weakness or numbness on one side of the body
  • loss of coordination
  • blindness in one eye or blurred vision
  • difficulty speaking
  • severe dizziness
  • severe headache
  • memory loss

If untreated, a blocked carotid artery can cause a stroke. Stroke is not only the third leading cause of death in the US, but can lead to permanent disability and a significantly altered lifestyle. With early diagnosis and appropriate treatment, the risk of stroke can be minimized. Risk factors for stroke include:

  • high blood pressure
  • diabetes
  • smoking
  • family history of stroke
  • high cholesterol
  • irregular heartbeat (atrial fibrillation)
  • heart or leg bypass.

Screening for carotid disease is done easily and quickly with an ultrasound scan. There is no risk with this study and no discomfort. If you have any of the symptoms mentioned earlier, your doctor will most likely order this scan. Pending those results, your physician may suggest medication adjustments for your blood pressure or cholesterol level, and will certainly suggest you quit smoking if you do.

Sometimes less invasive procedures will be suggested, like balloon angioplasty or stent placement, which can restore the flow of blood. Alternatively, surgical intervention may be indicated. This is the best way to reduce the risk of stroke. The surgeon can perform a procedure called carotid endarterectomy (CEA) where the vessel is opened to remove the plaque from inside the vessel. CEA does have risks, but it is done through a small incision, usually under local anesthesia, and the patient can usually go home within a day or two.

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