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Carotid Artery Stenosis
  • Carotid artery stenosis is characterized by the narrowing of the carotid arteries, vital blood vessels on either side of the neck that supply blood to the brain, face, and neck.
  • This narrowing typically results from atherosclerosis, where fatty deposits, cholesterol, and other substances build up in the artery walls, forming plaque.
  • As the arteries narrow, blood flow to the brain can diminish, significantly raising the risk of stroke and transient ischemic attacks (TIAs).
  • Symptoms may not be present until significant blockage occurs, making regular screening crucial, especially for individuals with risk factors such as high blood pressure, diabetes, smoking, or a family history of cardiovascular disease.
  • Diagnostic tests, including Doppler ultrasound, CT angiography, and MRI, can help assess the severity of the stenosis.
  • Depending on the degree of narrowing and associated symptoms, treatment options may range from lifestyle modifications and medication to more invasive procedures like carotid endarterectomy or stenting.

Early detection and management are essential to prevent severe complications associated with this condition.

Signs & Symptoms

 Many people with carotid artery stenosis do not experience noticeable symptoms until the narrowing becomes severe. However, some signs and symptoms may include:

  • Transient Ischemic Attack (TIA): Often called a "mini-stroke," this may present as temporary weakness, numbness, or difficulty speaking.
  • Sudden Vision Changes: Blurred or lost vision, often affecting one eye.
  • Difficulty with Coordination: Sudden trouble walking or maintaining balance.
  • Severe Headaches: Unexplained headaches that come on suddenly.

If any of these symptoms occur, seek medical attention immediately.

Causes

Carotid artery stenosis is primarily caused by atherosclerosis, in which fatty deposits (plaque) build up in the artery walls. Other contributing factors may include:

  • High Blood Pressure: Can damage the arteries over time.
  • High Cholesterol Levels: Excess cholesterol can lead to plaque formation.
  • Diabetes: Increases the risk of atherosclerosis.
  • Smoking: Contributes to artery damage and plaque buildup.
  • Age: Risk increases as you get older.
When to seek medical attention?

If you experience symptoms indicative of carotid artery stenosis, it's essential to consult a healthcare professional. A doctor can thoroughly evaluate you and determine whether further diagnostic tests or treatments are necessary.

Diagnostics & Tests

To diagnose carotid artery stenosis, doctors may recommend the following tests:

  • Ultrasound: This non-invasive test uses sound waves to visualize blood flow and identify narrowing.
  • CT Angiography (CTA): A specialized imaging test that uses X-rays and computer technology to create detailed images of blood vessels.
  • Magnetic Resonance Angiography (MRA): Similar to CTA, it uses magnetic fields and radio waves to produce images.
  • Cerebral Angiography is a more invasive procedure that involves a contrast dye injection to the carotid artery to visualize blockages.
Do’s & Don’ts

Do’s:

  • Adopt a Healthy Diet: Eat a diet rich in fruits, vegetables, whole grains, and lean proteins. Limit saturated fats, salt, and sugar intake to help maintain healthy cholesterol levels and reduce plaque buildup in the arteries.
  • Exercise Regularly: Aim for at least 150 minutes of moderate aerobic exercise each week, such as walking, cycling, or swimming, to improve cardiovascular health and help control weight, cholesterol, and blood pressure.
  • Monitor Blood Pressure and Cholesterol: Keep your blood pressure and cholesterol levels in check with regular monitoring. High blood pressure and high cholesterol are significant risk factors for carotid artery disease.
  • Take Medications as Prescribed: If you have been prescribed medications, such as blood thinners or statins, ensure you take them as directed by your doctor to help prevent blood clots and reduce cholesterol.
  • Quit Smoking: Smoking accelerates the development of atherosclerosis and can significantly increase the risk of carotid artery stenosis. Seek support to quit if needed.
  • Control Blood Sugar Levels: If you have diabetes, keep blood sugar levels within the target range to prevent further damage to blood vessels.
  • Attend Regular Check-ups: Follow up regularly with your healthcare provider to monitor the condition, even if you feel well. Regular screenings help detect any progression early.

Don’ts:

  • Don’t Ignore Symptoms: Seek immediate medical attention if you experience symptoms of a transient ischemic attack (TIA) or stroke, such as sudden weakness, difficulty speaking, or vision changes.
  • Avoid Processed Foods: These can increase cholesterol and contribute to plaque buildup. Limit intake of fried foods, red meats, and processed snacks.
  • Prioritize Mental Health: High stress levels can contribute to high blood pressure and other cardiovascular issues. Consider relaxation techniques or seek support if stress is unmanageable.
  • Limit Alcohol Intake: Excessive alcohol consumption can raise blood pressure. Stick to moderate intake, generally one drink per day for women and up to two for men.
  • Avoid a Sedentary Lifestyle: Sitting for long periods without movement can negatively impact circulation. Stand, stretch, and move regularly, primarily if you work at a desk.

NOTE:

Our medical content authors have diligently gathered and synthesized information on this topic to offer valuable insights to our readers. Drawing from a range of reputable medical journals and health resources, this content aims to enhance understanding of the subject. It's important to remember that while this information is informative, it should not replace personalized consultation or treatment from a qualified physician. For further details, please refer to our Editorial Policy.

For this topic, our authors used some of the following resources:

  1. Radiologyinfo.org | Carotid Artery Stenosis - Diagnosis and Treatment
  2. National Institutes of Health (NIH) (.gov) | Symptomatic Carotid Artery Stenosis - StatPearls
  3. Penn Medicine | Carotid Artery Disease: Symptoms and Causes
  4. National Institutes of Health (NIH) (.gov) | Carotid Artery Stenosis: A Look Into the Diagnostic and Management Strategies, and Related Complications
  5. Baylor College of Medicine | BCM | Carotid Artery Disease

Frequently Asked Questions For Carotid Artery Stenosis

Carotid artery stenosis is a narrowing of the carotid arteries, the major blood vessels in the neck that supply blood to the brain, neck, and face.

Risk factors for carotid artery stenosis include age, high blood pressure, high cholesterol, diabetes, smoking, and a family history of cardiovascular disease.

Yes, there are several steps to reduce the risk of developing carotid artery stenosis, such as: Maintaining a healthy diet low in saturated fat and cholesterol Regular physical activity, Controlling blood pressure, cholesterol, and blood sugar levels, Avoiding smoking, Limiting alcohol intake.

Both carotid endarterectomy and stenting have risks, including the possibility of stroke, heart attack, or injury to the artery. Medications may also have side effects, such as an increased risk of bleeding with blood thinners.

Carotid artery stenosis often does not cause symptoms in its early stages. However, as it progresses, it can lead to transient ischemic attacks (TIAs), also known as "mini-strokes," or even a full-blown stroke. Symptoms of a TIA or stroke may include sudden weakness or numbness, especially on one side of the body, difficulty speaking, vision problems, dizziness, or loss of balance.

Carotid artery stenosis is primarily caused by atherosclerosis, a condition in which plaque builds up in the arteries over time.

Carotid artery stenosis is often diagnosed through imaging tests, including: Carotid ultrasound, CT angiography (CTA), Magnetic resonance angiography (MRA), and Cerebral angiography.

Treatment depends on the severity of the stenosis and the patient’s overall health.

Carotid artery stenting is a less invasive procedure where a small, expandable tube (stent) is placed inside the artery to keep it open and improve blood flow.

Best Hospitals in Carotid Artery Stenosis

Explore All Hospitals in Carotid Artery Stenosis
BLK-MAX Super Specialty Hospital, Delhi – State-of-the-art medical facility
BLK-MAX Super Specialty Hospital

Pusa Road, Radha Soami Satsang, Rajendra Place New Delhi, 110005 India

High-end cardiac and orthopedic surgery at Max Hospital Dehradun – trusted by overseas patients with VivaVel.com support
Max Super Speciality Hospital, Dehradun

Mussoorie, Diversion Road, Dehradun, Uttarakhand 248001

Specialist consulting global patient at Kokilaben Hospital – personalized medical travel support by VivaVel.com
Kokilaben Dhirubhai Ambani Hospital

Rao Saheb, Achutrao Patwardhan Marg, Four Bungalows, Andheri West Mumbai, 400053 India

World-class cancer and transplant care at Max Super Specialty Hospital, Gurgaon – chosen by global patients with VivaVel.com
Max Super Specialty Hospital, Gurgaon

B Block, Sushant Lok 1, Near Huda City Centre, MF Husain Marg, Sector 43 Gurgaon, 122001 India

Overseas patient receiving care from specialist at Manipal Hospital Bengaluru – global medical travel arranged by VivaVel.com
Manipal Hospital (Old Airport Road), Bengaluru

Manipal Hospital Bangalore, 560017 India

Aakash Healthcare Super Speciality Hospital, a state-of-the-art multispecialty hospital in Dwarka, Delhi, with modern infrastructure and advanced medical facilities.
Aakash Healthcare Super Speciality Hospital, Dwarka

Hospital Plot, Road No. 201, Dwarka Sector-3, Dwarka, New Delhi, 110075 India

Top Doctors in Carotid Artery Stenosis

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Z S Meharwal
  • Dr. Z S Meharwal
  • Chairman And Head Adult Cardiac Surgery
  • Cardiac Sciences | Adult CTVS (Cardiotho...
  • 35 Years Experience
  • Fortis Escorts Heart Institute

Dr. Z.S. Meharwal is the Chairman and Head of the adult Cardiac Surgery, Heart Transplantation, and VAD program at Fortis Escorts Heart Institute. He is part of the i...

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Shiv Kumar Choudhary
  • Dr. Shiv Kumar Choudhary
  • Executive Director, Cardio Thoracic Vasc...
  • Cardiac Sciences | Adult CTVS (Cardiotho...
  • 32 Years Experience
  • Fortis Escorts Heart Institute

Dr. Shiv Kumar Choudhary has built a prestigious career in cardiovascular and thoracic surgery and is a highly renowned cardiac surgeon. He serves as the Executive Di...

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Jaisom Chopra
  • Dr. Jaisom Chopra
  • Senior Consultant
  • General Surgeon
  • 35 Years Experience
  • Indraprastha Apollo Hospital

Dr. Jaisom Chopra is a highly skilled vascular surgeon renowned for his extensive experience in both domestic and international medical practices. After completing hi...

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Rakesh Mahajan
  • Dr. Rakesh Mahajan
  • Senior Consultant
  • Vascular Surgery
  • 36 Years Experience
  • Indraprastha Apollo Hospital

Over the past 25 years, Dr. Rakesh Mahajan has been instrumental in developing the Department of Vascular Surgery at Indraprastha Apollo Hospitals, New Delhi, into one of the...

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Thamrongroj Temudom
  • Dr. Thamrongroj Temudom
  • Consultant
  • Vascular Surgeon
  • 35 Years Experience
  • Bumrungrad International Hospital

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Pornprom Muangman
  • Dr. Pornprom Muangman
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  • Vascular Surgeon
  • 27 Years Experience
  • Bangkok Hospital

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