Carotid Artery Stenosis

About

What is it?

Carotid artery disease, also known as carotid artery stenosis, occurs when the carotid arteries—the vital blood vessels that supply oxygenated blood to your brain—become narrowed or blocked.

This narrowing is caused by the accumulation of plaque, a condition known as atherosclerosis, and significantly increases your risk of having a stroke or a transient ischaemic attack (TIA or ‘mini-stroke’).

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Symptoms

In its early stages, carotid artery disease may not produce any signs. Symptoms often only become apparent when the blockage is severe enough to restrict blood flow to the brain, or when a TIA or stroke occurs. Warning signs may include:

  • Sudden Numbness or Weakness: Typically affecting one side of the face, an arm, or a leg.
  • Speech Problems: Sudden difficulty speaking, slurred speech, or trouble understanding others.
  • Vision Issues: Abrupt trouble seeing in one or both eyes, or blurred or darkened vision.
  • Dizziness or Loss of Balance: A sudden feeling of dizziness, unsteadiness, or a loss of coordination.
  • Severe Headache: A sudden, intense headache with no clear cause.

Causes

Carotid artery disease is most commonly caused by atherosclerosis, the build-up of fatty plaque on the inner walls of the arteries. Factors that contribute to this process include:

  • High blood pressure (hypertension)
  • High cholesterol
  • Diabetes
  • Smoking
  • Obesity
  • Lack of physical activity
  • A family history of cardiovascular disease
  • Advancing age

Treatments

Dr Shaik offers:

  • Carotid Endarterectomy: Surgical removal of plaque from the carotid artery
  • Carotid Stenting: Minimally invasive placement of a stent to open the narrowed artery (in selected cases)
  • Medical Management: When appropriate, controlling risk factors with medication and lifestyle changes
FAQ

Frequently Asked Questions

Peripheral Arterial Disease

Peripheral arterial disease (PAD) occurs when narrowed arteries reduce blood flow to your limbs, typically the legs. Dr Shaik offers:

  • Endovascular Procedures: Minimally invasive techniques including:
    • Balloon angioplasty
    • Stent placement
    • Atherectomy (plaque removal)
  • Open Bypass Surgery: Creating alternative routes for blood flow using either synthetic grafts or your own veins when endovascular approaches aren’t suitable
FAQ's

Frequently asked questions

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