Carotid artery disease

Request an Appointment
Print

Departments and specialties

Mayo Clinic has one of the largest and most experienced practices in the United States, with campuses in Arizona, Florida and Minnesota. Staff skilled in dozens of specialties work together to ensure quality care and successful recovery.

Departments that treat this condition

Areas that research this condition

Doctors who treat this condition

Edit search filters
close

Narrow your search

  1. There are no doctors whose last name begins with the letter A
  2. Find a doctor whose last name begins with the letter B
  3. Find a doctor whose last name begins with the letter C
  4. Find a doctor whose last name begins with the letter D
  5. Find a doctor whose last name begins with the letter E
  6. Find a doctor whose last name begins with the letter F
  7. There are no doctors whose last name begins with the letter G
  8. Find a doctor whose last name begins with the letter H
  9. There are no doctors whose last name begins with the letter I
  10. Find a doctor whose last name begins with the letter J
  11. Find a doctor whose last name begins with the letter K
  12. Find a doctor whose last name begins with the letter L
  13. Find a doctor whose last name begins with the letter M
  14. Find a doctor whose last name begins with the letter N
  15. Find a doctor whose last name begins with the letter O
  16. There are no doctors whose last name begins with the letter P
  17. There are no doctors whose last name begins with the letter Q
  18. Find a doctor whose last name begins with the letter R
  19. Find a doctor whose last name begins with the letter S
  20. Find a doctor whose last name begins with the letter T
  21. There are no doctors whose last name begins with the letter U
  22. There are no doctors whose last name begins with the letter V
  23. Find a doctor whose last name begins with the letter W
  24. There are no doctors whose last name begins with the letter X
  25. There are no doctors whose last name begins with the letter Y
  26. There are no doctors whose last name begins with the letter Z
Reset all filters

Displaying 1-10 out of 34 doctors available

  1. Waleed Brinjikji, M.D.

    Waleed Brinjikji, M.D.

    1. Rochester, MN
    Areas of focus:

    Sclerotherapy, Carotid angioplasty and stenting, Embolization therapy, Endovascular aneurysm repair, Brain aneurysm, Ve...nous malformation, Carotid artery disease, Dural arteriovenous fistula, Brain AVM, Pseudotumor cerebri, Vascular malformation, Ischemic stroke, Spinal arteriovenous malformation, Hereditary hemorrhagic telangiectasia, Central nervous system vascular malformations, Spontaneous intracranial hypotension, Craniofacial vascular malformation

  2. Robert D. Brown, Jr., M.D., M.P.H.

    Robert D. Brown, Jr., M.D., M.P.H.

    1. Neurologist
    1. Rochester, MN
    Areas of focus:

    Stroke prevention, Stroke, Brain aneurysm, Transient ischemic attack, Carotid artery disease, Arteriovenous malformatio...n, Cavernous malformations, CNS vasculitis, Central nervous system vascular malformations

  3. Ana I. Casanegra, M.D., M.S.

    Ana I. Casanegra, M.D., M.S.

    1. Internist
    2. Vascular Medicine Specialist
    1. Rochester, MN
    Areas of focus:

    Anticoagulant therapy, Ultrasound, Deep vein thrombosis, Peripheral artery disease, Aortic dissection, Carotid artery d...isease, Pulmonary embolism, Aneurysm, Thrombophlebitis, Arterial embolism, Antiphospholipid syndrome, Fibromuscular dysplasia, Factor V Leiden, Renal artery stenosis, Thrombophilia, Venous thrombosis, Carotid artery dissection, Vasospastic disorders, Congenital blood clotting disorder, Protein S deficiency, Antithrombin deficiency, Protein C deficiency, Visceral artery aneurysm

  4. Jill J. Colglazier, M.D.

    Jill J. Colglazier, M.D.

    1. Vascular Surgeon
    2. General Surgeon
    1. Rochester, MN
    Areas of focus:

    Endovascular reconstruction, Carotid angioplasty and stenting, Carotid endarterectomy, Thrombectomy, Aortic aneurysm re...pair, Thrombolysis, Endovascular treatment, Angioplasty, Thoracic endovascular aneurysm repair , Arteriovenous fistula surgery, Carotid artery reconstruction, Carotid angiogram, Aneurysm surgery, Endovascular aneurysm repair, Mesenteric artery bypass, Thoracic aortic aneurysm surgery, Angiogram, Fistulogram, Femoral endarterectomy, Varicose vein ablation, Varicose vein, Nutcracker syndrome , Deep vein thrombosis, Peripheral artery disease, Abdominal aortic aneurysm, Lymphedema, Mesenteric ischemia, Aortic dissection, Venous malformation, Carotid artery disease, Claudication, Marfan syndrome, Takayasu's arteritis, Thoracic aortic aneurysm, Arteriosclerosis/atherosclerosis, Aneurysm, Aortic aneurysm, Thoracic outlet syndrome, Arteriovenous malformation, Venous insufficiency, Popliteal aneurysm, Vascular malformation, Vascular anomaly, Critical limb ischemia, Fibromuscular dysplasia, Arteriovenous fistula, Carotid body tumor, Aortic ulcer, Popliteal artery entrapment syndrome, Arterial aneurysm, Vascular graft infection, Carotid artery dissection, Cerebrovascular disease, Venous disorder, Median arcuate ligament syndrome, Venous aneurysm, Thoracoabdominal aortic aneurysm, Renal artery aneurysm, Aortoiliac disease, Aortic disorder

  5. Victor J. Davila, M.D.

    Victor J. Davila, M.D.

    1. Vascular Surgeon
    1. Phoenix, AZ
    Areas of focus:

    Carotid angioplasty and stenting, Carotid endarterectomy, Vascular bypass surgery, Endovascular treatment, Angioplasty,... Vascular stenting, Aneurysm surgery, Hemodialysis vascular access surgery, Femoral endarterectomy, Varicose vein, Mesenteric ischemia, Carotid artery disease, Aortic aneurysm, Renovascular disease, Cerebrovascular disease, Aortoiliac disease

  6. Randall R. DeMartino, M.D., M.S.

    Randall R. DeMartino, M.D., M.S.

    1. Vascular Surgeon
    1. Rochester, MN
    Areas of focus:

    Carotid angioplasty and stenting, Carotid endarterectomy, Aortic aneurysm repair, Thrombolysis, Angioplasty, Arterioven...ous fistula surgery, Arteriovenous malformation surgery, Mesenteric artery bypass, Thoracic aortic aneurysm surgery, Angiogram, Femoral endarterectomy, Thoracoabdominal aortic aneurysm repair, Varicose vein ablation, Fistulogram, Varicose vein, Nutcracker syndrome , Deep vein thrombosis, Peripheral artery disease, Abdominal aortic aneurysm, Lymphedema, Mesenteric ischemia, Aortic dissection, Venous malformation, Carotid artery disease, Marfan syndrome, Takayasu's arteritis, Thoracic aortic aneurysm, Arteriosclerosis/atherosclerosis, Aneurysm, Aortic aneurysm, Thoracic outlet syndrome, Arteriovenous malformation, Venous insufficiency, Popliteal aneurysm, Vascular malformation, Vascular anomaly, Critical limb ischemia, Fibromuscular dysplasia, Renal artery stenosis, Arteriovenous fistula, Carotid body tumor, Aortic ulcer, Popliteal artery entrapment syndrome, Venous thrombosis, Vascular graft infection, Carotid artery dissection, Cerebrovascular disease, Venous disorder, Median arcuate ligament syndrome, Venous aneurysm, Aortic disorder, Thoracoabdominal aortic aneurysm, Aortoiliac disease, Renal artery aneurysm

  7. Oana M. Dumitrascu, M.D.

    Oana M. Dumitrascu, M.D.

    1. Neurologist
    2. Vascular Neurologist
    1. Phoenix, AZ
    Areas of focus:

    Botox injection, Telestroke, Transcranial Doppler test, Stroke, Transient ischemic attack, Carotid artery disease, Opti...c neuritis, Myelin oligodendrocyte glycoprotein antibody-associated disease, Retinal vein occlusion, Double vision, Spinal cord infarction, Fibromuscular dysplasia, Moyamoya disease, Vascular dementia, CNS vasculitis, Cerebral amyloid angiopathy, Cerebrovascular disease

  8. Stephen W. English, Jr., M.D., M.B.A.

    Stephen W. English, Jr., M.D., M.B.A.

    1. Neurologist
    2. Vascular Neurologist
    1. Jacksonville, FL
    Areas of focus:

    Telestroke, Giant cell arteritis, Stroke, Brain aneurysm, Venous malformation, Transient ischemic attack, Carotid arter...y disease, Takayasu's arteritis, Brain hemorrhage, Dural arteriovenous fistula, Brain AVM, Arteriovenous malformation, Subarachnoid hemorrhage, Intracranial hematoma, CADASIL, Cerebral microbleeds, Subdural hematoma, Antiphospholipid syndrome, Subdural hemorrhage, Spinal arteriovenous malformation, Cavernous malformations, Small vessel white matter disease, Moyamoya disease, Vascular dementia, Binswanger's disease, Central nervous system arteritis, Hereditary hemorrhagic telangiectasia, Central nervous system vascular malformations, Intracranial venous malformation, Intracranial hemorrhage, Arteritis, Cerebral amyloid angiopathy, Venous angioma, Basilar artery stenosis, Venous thrombosis, Basilar dissection, Vertebral artery blockage, Vertebral artery dissection, Vertebral artery stenosis, Vertebrobasilar insufficiency, Carotid bruit, Intracerebral hemorrhage, Amaurosis fugax, Carotid dissection

  9. Young M. Erben, M.D.

    Young M. Erben, M.D.

    1. Vascular Surgeon
    1. Jacksonville, FL
    Areas of focus:

    Endovascular reconstruction, Carotid endarterectomy, Endovascular treatment, Aneurysm surgery, Mesenteric artery bypass..., Thoracic aortic aneurysm surgery, Vascular access surgery, Carotid artery aneurysm repair, Nutcracker syndrome , Ehlers-Danlos syndrome, Peripheral artery disease, Abdominal aortic aneurysm, Aortic dissection, Carotid artery disease, Marfan syndrome, Thoracic aortic aneurysm, Aortic aneurysm, Thoracic outlet syndrome, Renal artery stenosis, Connective tissue disorder, Cerebrovascular disease, Venous aneurysm

  10. Sam Farres, M.D.

    Sam Farres, M.D.

    1. Vascular Surgeon
    1. Jacksonville, FL
    Areas of focus:

    Carotid endarterectomy, Endovascular treatment, Aneurysm surgery, Thoracic aortic aneurysm surgery, Vascular access sur...gery, Ehlers-Danlos syndrome, Peripheral artery disease, Abdominal aortic aneurysm, Carotid artery disease, Marfan syndrome, Thoracic aortic aneurysm, Thoracic outlet syndrome, Arterial embolism, Connective tissue disorder

Research

Mayo Clinic researchers are working to improve the diagnosis and treatment of carotid artery disease. Efforts include evaluating treatment options for carotid artery disease that has no symptoms and surgical ways of treating carotid artery disease that has symptoms. Researchers also look at which techniques offer the best outcomes in light of advances in medical therapy and surgical techniques.

Mayo researchers were involved in the multicenter Carotid Revascularization Endarterectomy versus Stenting Trial (CREST), which defined treatment protocols and compared outcomes of the two procedures.

Mayo Clinic is now the clinical coordinating center for the ongoing CREST2 trial, which is designed to compare three different methods of stroke prevention to find the safest and most effective treatment for patients with narrowing of their carotid arteries. Related work assessing CREST data yields insights into the effectiveness of patching during endarterectomy procedures.

CREST Trial

Vivien Williams: Carotid artery disease increases your risk of stroke. Plaque builds up in the arteries in the neck, and if some breaks away, it could travel to your brain and cut off blood flow. But results of a study published in the New England Journal of Medicine give doctors the information they need to choose the best preventive procedures for their patients.

It's called the CREST Trial — Carotid Revascularization Endarterectomy versus Stent Trial. What that means is researchers tested open surgery versus stenting of the carotid artery to see which procedure was best at opening blockages and preventing stroke. Findings show that open surgery and stenting are equally safe and effective at preventing stroke, except for people over the age of 80.

Albert Hakaim, M.D.—Mayo Clinic vascular surgery: Based on the CREST Trial for patients who are older and the majority of vascular patients are older, carotid endarterectomy is superior to stentings.

Vivien Williams: Dr. Albert Hakaim says, people over 80 who have stents placed to open blockages in their carotid arteries have a higher risk of stroke after treatment than those who had the open operation. But if you're younger, both procedures are equally beneficial.

You see, blockages happen after years of plaque buildup on the artery walls. If a piece breaks off, it could flow to the brain and cut off blood supply, causing stroke. Here's a comparison of the two procedures.

First, the standard operation. With the patient under general anesthesia, Dr. Hakaim makes an incision in the neck to expose the carotid artery which carries blood to the face and brain. Then he inserts a temporary shunt to reroute blood so they can work on the artery. Next, he opens the artery lengthwise, removes plaque, and closes the incision.

Stenting is less invasive. With the patient having local anesthesia, Dr. Hakaim advances a catheter through the femoral artery in the leg up to the blockage. Just above it, he places a tiny umbrella shaped device to make sure that if the pieces of plaque break off they don't flow to the brain. Then he deploys the stent, which is pushed into place by a balloon. The stent opens the artery and crushes the plaque against the artery wall.

Albert Hakaim, M.D.: So here's the common carotid artery. And this is where the artery branches, so this branch goes to the face. This was the narrowing. This is the stent before the angioplasty.

Vivien Williams: Two procedures, both safe and effective at preventing stroke in the right groups of patients. The CREST Trial is important, because stroke is the third leading cause of death in the U.S. and the number one cause of disability. Now doctors can be more certain that the procedures they do for their patients will reduce the risk of stroke. For Medical Edge, I'm Vivien Williams.

Mayo clinicians also are working to advance ultrasound evaluation of carotid plaque characteristics, to better identify plaques with higher stroke risk based on sonography.

Publications

See a list of publications on carotid artery disease by Mayo Clinic doctors on PubMed, a service of the National Library of Medicine.

By Mayo Clinic Staff

Carotid artery disease care at Mayo Clinic

Request an appointment
Diagnosis & treatmentCare at Mayo Clinic
April 19, 2023
Print

Related

Associated Procedures

News from Mayo Clinic

Carotid artery disease

Research: It's all about patients

[MUSIC PLAYING]

Joseph Sirven, M.D., Professor of Neurology, Mayo Clinic: Mayo's mission is about the patient. The patient comes first. So the mission and research here is to advance how we can best help the patient, how to make sure the patient comes first in care. So in many ways, it's a cycle. It can start with as simple as an idea worked on in a laboratory, brought to the patient bedside, and if everything goes right — and let's say it's helpful or beneficial — then brought on as a standard approach. And I think that is one of the unique characteristics of Mayo's approach to research — that patient-centeredness — that really helps to put it in its own spotlight.