Carotid Artery Disease (Carotid Stenosis)

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Vascular and Endovascular Neurosurgery

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What is this Condition?

Carotid artery disease is the accumulation of lipid-calcific deposits (plaque) within the major arteries that supply blood to the brain (commonly called carotid arteries), leading to narrowing of the vessel. This stenosis can reduce blood flow to the brain or cause small emboli to break off and travel to the brain, increasing the risk of stroke and transient ischemic attack (TIA). The disease often progresses without symptoms for a long time. Therefore, early detection and control of risk factors (hypertension, cholesterol, diabetes, smoking) form the foundation of prevention.

Diagnosis Methods

The initial diagnostic modality is typically color-coded duplex ultrasound (carotid doppler) of the neck vessels; when necessary, CT or MR angiography confirms the degree of stenosis. The symptomatic status of the stenosis and the patient's overall cardiovascular risk are evaluated comprehensively. Treatment decisions are based on this holistic assessment.

Treatment Methods

Treatment is primarily based on antiplatelet medications, cholesterol-lowering drugs (statins), blood pressure and glucose control, and healthy lifestyle modifications. In selected patients, surgery to remove plaque from the vessel (carotid endarterectomy) or placement of a stent within the artery may be considered. The choice of treatment method is determined by evaluating the degree of stenosis, presence or absence of symptoms, and appropriateness of intervention for the patient.

Treatment Path

Related Treatments

The procedures and interventions most commonly explored with this condition.

4 links

Karotid endarterektomi

Karotid endarterektomi procedure

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Percutaneous Intravascular Stent Placement (Carotid Artery)

Endovascular stent placement in the carotid artery

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Selective Cerebral Arteriography (4 Systems)

Separate catheter imaging of the four main brain vessels

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Serebral bypass ameliyatı

Serebral bypass ameliyatı procedure

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References

Greenberg MS. Handbook of Neurosurgery. 10th ed. Thieme; 2023.
Loftus CM. Carotid Endarterectomy. In: Cerebrovascular and Endovascular Neurosurgery. Cham: Springer; 2018.
Cerebrovascular and Endovascular Neurosurgery. Cham: Springer; 2018.

This content is for informational purposes and based on academic sources; consult your physician for diagnosis and treatment.

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Carotid Artery Disease (Carotid Stenosis)

Vascular and Endovascular Neurosurgery

1Overview

Translation in progress

What is this Condition?

Diagnosis Methods

Treatment Methods

Related Treatments

Karotid endarterektomi

Percutaneous Intravascular Stent Placement (Carotid Artery)

Selective Cerebral Arteriography (4 Systems)

Serebral bypass ameliyatı

References

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Related Treatments

Karotid endarterektomi

Percutaneous Intravascular Stent Placement (Carotid Artery)

Selective Cerebral Arteriography (4 Systems)

Serebral bypass ameliyatı

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