Carotid artery disease

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Displaying 1-10 out of 35 doctors available

  1. Vin Shen Ban, M.B.B.S.

    Vin Shen Ban, M.B.B.S.

    1. Neurosurgeon
    1. Jacksonville, FL
    Areas of focus:

    Brain tumor, Arteriovenous malformation, Spinal cord tumor, Spinal stenosis, Cervical spondylosis, Meningioma, Cervical... radiculopathy, Spinal compression fracture, Cervical herniated disk, Cervical spondylolisthesis, Cervical spondylotic myelopathy, Cervical myelopathy, Cervical spinal stenosis, Pituitary tumor, Carotid artery disease, Aneurysm, Trigeminal neuralgia, Hydrocephalus, Spinal arteriovenous malformation, Cavernous malformations, Moyamoya disease, Hemifacial spasm, Brain hemorrhage, Subdural hematoma, Hemangioblastoma, Vertebrobasilar insufficiency, Glossopharyngeal neuralgia, Carotid artery dissection, Intracerebral hemorrhage, Pineal tumor, Cranial nerve palsy, Arteriovenous fistula, Cavernous hemangioma, Carotid body tumor, Spinal fracture, Schwannoma, Pituitary mass, Vertebral artery disease, Intraventricular hemorrhage

  2. Waleed Brinjikji, M.D.

    Waleed Brinjikji, M.D.

    1. Rochester, MN
    Areas of focus:

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

  3. 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, Arteriovenous malformation, Brain aneurysm, Transient ischemic attack, Carotid artery diseas...e, Cavernous malformations, Central nervous system vascular malformations, CNS vasculitis

  4. 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:

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

  5. Jill J. Colglazier, M.D.

    Jill J. Colglazier, M.D.

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

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

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

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

  8. Oana M. Dumitrascu, M.D.

    Oana M. Dumitrascu, M.D.

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

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

  9. 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, Stroke, Arteriovenous malformation, Brain aneurysm, Transient ischemic attack, Subarachnoid hemorrhage, Ven...ous malformation, Carotid artery disease, Dural arteriovenous fistula, Brain AVM, Intracranial hematoma, Subdural hemorrhage, Spinal arteriovenous malformation, Cavernous malformations, Moyamoya disease, Hereditary hemorrhagic telangiectasia, Central nervous system vascular malformations, Intracranial venous malformation, Intracranial hemorrhage, Giant cell arteritis, Takayasu's arteritis, Brain hemorrhage, CADASIL, Cerebral microbleeds, Subdural hematoma, Antiphospholipid syndrome, Small vessel white matter disease, Vascular dementia, Binswanger's disease, Central nervous system arteritis, 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

  10. Young M. Erben, M.D.

    Young M. Erben, M.D.

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

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

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

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Diagnosis & treatmentCare at Mayo Clinic
April 19, 2023
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Carotid artery disease

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