Treatment FAQ

what is the treatment for a blockage in the carotid artery?

by Michelle Glover Published 3 years ago Updated 2 years ago
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Carotid endarterectomy, the most common treatment for severe carotid artery disease. After making an incision along the front of your neck, the surgeon opens the affected carotid artery and removes the plaques. The artery is repaired with either stitches or a graft.

Medication

Treatment can include:

  • Medication (antiplatelet drug therapy) and risk factor management. ...
  • Carotid endarterectomy, a surgery where the carotid artery is opened and the fatty deposits are removed.
  • Carotid angioplasty and stenting, where a long, hollow plastic tube (catheter) is inserted in the groin artery and threaded to the narrowed carotid artery. ...

Procedures

Lifestyle Changes to Unclog Arteries

  1. Diet. Read food and drink labels to help you choose healthier options. ...
  2. Tobacco Use. Quit smoking as tobacco products contain chemicals that can damage the blood vessel walls and blood cells.
  3. Exercise. Regular exercise works towards preventing clogged arteries in several ways. ...
  4. Manage Stress. ...
  5. Alcohol Use. ...
  6. Control Your Diabetes. ...
  7. Regular Check-ups. ...

Self-care

This could be fatal. So, when one is diagnosed with blocked arteries, it is necessary to take steps to avoid the worsening of the situation. As far as the question of how long can you live with the condition, there is no straight answer. There are multiple ways in which plaque build-up can be fatal.

Nutrition

  • Listening to the carotid arteries. For this test, your doctor places a stethoscope over the carotid artery to listen for a sound called a bruit (pronounced brew-ee). ...
  • Carotid artery duplex scan. ...
  • MRI scan. ...
  • Magnetic resonance angiography (MRA). ...
  • Computed tomography angiography (CTA). ...
  • Angiography. ...

See more

What are the treatment options for blocked carotid arteries?

How to unblock the carotid artery?

Can you live with a blocked carotid artery?

How is a blocked carotid artery treated?

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What percentage of carotid artery blockage requires surgery?

Surgery is the best option for symptomatic patients with 70% to 99% blockage in the carotid artery. However, it can also be considered for patients with 50% to 69% blockage. Doctors agree that surgery is the most effective option for patients with moderate to severe carotid stenosis.

How serious is a carotid artery surgery?

CEA is considered a reasonably safe procedure that can greatly reduce the risk of stroke if you have carotid artery disease. The procedure does carry a small risk of stroke, nerve damage, or even death. Other diseases like heart disease or diabetes can also complicate any surgical procedure.

Can carotid artery blockage be treated with medication?

Mild to moderate blockages in the carotid artery are treated with medications called antiplatelet agents, such as aspirin, that block the formation of blood clots. In addition, treatment involves identifying and reducing risk factors, such as cigarette smoking and high blood pressure.

When does a blocked carotid artery need surgery?

Surgery to remove the buildup in your carotid artery may be done if the artery is narrowed by more than 70%. If you have had a stroke or temporary brain injury, your provider will consider whether treating your blocked artery with surgery is safe for you.

How long is the hospital stay for carotid artery surgery?

Patients usually stay in the hospital for 1 to 2 days after the surgery to allow time for recovery and time for the physician to monitor progress. You will be discharged with information about which activities you may need to limit and for how long, such as driving or physical activities.

What is the life expectancy after carotid artery surgery?

Discussion. In this long-term follow-up, the median survival after carotid endarterectomy for patients with an asymptomatic stenosis was 10.2 years. Although the perioperative mortality was low (0.5%), the increasing annual mortality negatively affects longevity when compared with expected survival for this age group.

Do cardiologists treat carotid artery blockage?

Diagnosing and treating carotid artery disease When a primary care physician or cardiologist suspects that a patient may have carotid stenosis, they will refer them to a vascular surgeon, who will typically perform an ultrasound.

Do cardiologists treat carotid artery disease?

In conclusion, cardiologists perform the majority of carotid stenting in the United States. Procedures performed by cardiologists involve patients who appear to differ in important ways from those treated by other specialists like surgeons and radiologists.

What are the warning signs of a blocked carotid artery?

SymptomsSudden numbness or weakness in the face or limbs, often on only one side of the body.Sudden trouble speaking and understanding.Sudden trouble seeing in one or both eyes.Sudden dizziness or loss of balance.Sudden, severe headache with no known cause.

Is carotid endarterectomy a high risk surgery?

CEA can be safely performed in patients deemed at high risk, including those aged 80 years or older and others with significant comorbid conditions, with combined stroke and mortality rates comparable to those found in randomized trials, ie, the Asymptomatic Carotid Atherosclerosis Study and the North American ...

Is carotid endarterectomy major or minor surgery?

Carotid artery disease puts you at risk for stroke. Carotid artery surgery is major surgery with risks and potential complications. You may have less invasive treatment options.

Can you live a normal life after carotid artery surgery?

Relative survival at 5 years was 118% (95% CI, 102 to 134) for those ≥80 years of age compared with 94.7% (95% CI, 92 to 97) for those <80 years of age. Conclusions— Long-term relative survival after carotid endarterectomy in patients ≥80 years of age was better than that of an age-matched population.

What is the success rate for carotid artery surgery?

The failure rate for ipsilateral stroke or death for the medical group is 22.2 percent, and for the surgery group is 15.7 percent from greater than 1 in 4 to less than 1 in 7.

Is carotid endarterectomy a high risk surgery?

CEA can be safely performed in patients deemed at high risk, including those aged 80 years or older and others with significant comorbid conditions, with combined stroke and mortality rates comparable to those found in randomized trials, ie, the Asymptomatic Carotid Atherosclerosis Study and the North American ...

Can you live a normal life after carotid artery surgery?

Relative survival at 5 years was 118% (95% CI, 102 to 134) for those ≥80 years of age compared with 94.7% (95% CI, 92 to 97) for those <80 years of age. Conclusions— Long-term relative survival after carotid endarterectomy in patients ≥80 years of age was better than that of an age-matched population.

Can you survive a cut carotid artery?

Abstract. Rupture of the carotid arteries, which provide blood supply to the head and neck, results in massive haemorrhage leading to death within a matter of minutes in 33% of cases. Those who survive are frequently left handicapped.

Treatment

Overview

Pathophysiology

Risks

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Depending on the severity, recommended treatment includes cholesterol-lowering drugs and anticoagulants to improve blood flow to the brain.
Medication

Anticoagulants: Drugs used to prevent thickening of blood and clot formation.

Heparin . Warfarin


Antiplatelet: Drugs used to avoid aggregation of platelets.

Aspirin

Procedures

Carotid endarterectomy: This procedure involves the surgical removal of plaque in the carotid artery to prevent stroke.

Angioplasty: Procedure where a balloon is inflated inside the carotid artery to unblock it. Usually, recommended if it is difficult to reach the blockage area for endarterectomy.

Carotid stenting: Procedure involves the placement of a small and expandable tube called stent in the narrowed artery. Usually, recommended if it is difficult to reach the blockage area for endarterectomy.

Self-care

Always talk to your provider before starting anything.

  • Quit smoking
  • Exercise regularly
  • Reduce salt intake

Nutrition

Foods to eat:

  • Lean meat- skinless chicken and turkey
  • Fruits and vegetables

Foods to avoid:

  • Saturated fat
  • Red meat
  • Processed meat
  • Limit salt intake

Specialist to consult

Vascular medicine specialist
Specializes in diagnosis and management of disorders that affect the arteries, veins and lymphatic systems.
Neurologist
Specializes in treating diseases of the nervous system, which includes the brain, the spinal cord, and the nerves.
Neurosurgeon
Specializes in surgery on the nervous system, especially the brain and spinal cord.
Vascular surgeon
Specializes in the diseases of the vascular system and performs minimally-invasive catheter procedures, surgical reconstruction.

Mechanism

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Your doctor is likely to start with a thorough medical history and physical examination. The exam generally includes listening for a swooshing sound (bruit) over the carotid artery in your neck, a sound that's characteristic of a narrowed artery. Your doctor may then test your physical and mental capabilities such as st…
See more on mayoclinic.org

Purpose

Benefits

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