Carotid artery disease

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Displaying 11-20 out of 34 doctors available

  1. Sam Farres, M.D.

    Sam Farres, M.D.

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

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

  2. Chris C. Fox, M.D.

    Chris C. Fox, M.D.

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

    Minimally invasive surgery, Stereotactic radiosurgery, Diskectomy, Brain stereotactic radiosurgery, Foraminotomy, Carot...id angioplasty and stenting, Spinal fusion, Endovascular aneurysm repair, Laminectomy, Cerebral angiogram, Cervical spine fusion, Minimally invasive lumbar decompression, Microvascular surgery, Kyphoplasty, Spondylolisthesis surgery, Spinal angiogram, Back surgery, Thrombectomy, Cervical disk replacement, Cervical spine surgery, Lumbar laminectomy, Gamma knife surgery, Lumbar diskectomy, Minimally invasive lumbar diskectomy, Minimally invasive cervical diskectomy, Cervical laminectomy, Cervical diskectomy, Thoracic diskectomy, Thoracic fusion, Endarterectomy, Thoracic laminectomy, Lumbar fusion, Minimally invasive spine surgery, Minimally invasive spinal fusion, Minimally invasive lumbar spinal fusion, Revision spinal surgery, Minimally invasive foraminotomy, Minimally invasive cervical foraminotomy, Minimally invasive diskectomy, Lateral lumbar interbody fusion, Stroke, Brain aneurysm, Back pain, Spinal stenosis, Cervical myelopathy, Brain AVM, Neck pain, Herniated disk, Cavernous malformations, Spinal cord injury, Spinal tumor, Degenerative disk disease, Arteriovenous malformation, Thoracic radiculopathy, Central nervous system vascular malformations, Arteriovenous fistula, Moyamoya disease, Disk disease, Spinal arteriovenous malformation, Lumbar radiculopathy, Carotid artery disease, Lumbar spinal stenosis, Cervical spondylosis, Cervical spinal stenosis, Thoracic myelopathy, Thoracic herniated disk, Radiculopathy, Cervical spondylolisthesis, Cervical kyphosis, Cervical herniated disk, Cervical radiculopathy, Spine arthritis, Degenerative scoliosis

  3. Stan Henkin, M.D.

    Stan Henkin, M.D.

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

    Anticoagulant therapy, Aneurysm, Deep vein thrombosis, Pulmonary embolism, Abdominal aortic aneurysm, Vasospastic disor...ders, Peripheral artery disease, Aortic aneurysm, Marfan syndrome, Aortic dissection, Spontaneous coronary artery dissection, Carotid artery dissection, Ehlers-Danlos syndrome, Raynaud's disease, Venous thrombosis, Fibromuscular dysplasia, Renal artery stenosis, Thoracic aortic aneurysm, Carotid artery disease, Thrombophilia, Arterial embolism, Loeys-Dietz syndrome, Visceral artery aneurysm

  4. Courtney M. Hrdlicka, M.D.

    Courtney M. Hrdlicka, M.D.

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

    Telestroke, Transcranial Doppler test, Carotid ultrasound, Stroke, Transient ischemic attack, Brain hemorrhage, Cerebro...vascular disease, Carotid artery disease, Cerebral amyloid angiopathy, Ischemic stroke

  5. Josephine F. Huang, M.D.

    Josephine F. Huang, M.D.

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

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

  6. Thien Huynh, M.D.

    Thien Huynh, M.D.

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

    Endovascular treatment, Carotid angioplasty and stenting, Vertebroplasty, Cerebral angiogram, Epidural blood patch, Epi...dural steroid injection, Kyphoplasty, Spinal angiogram, Nerve block, Spine procedure, Intracranial stenting, Petrosal sinus sampling, Stroke, Brain aneurysm, Brain AVM, Arteriovenous malformation, Arteriovenous fistula, Spinal arteriovenous malformation, Dural arteriovenous fistula, Carotid artery disease, Vertebral artery stenosis, CSF leak, Compression fracture

  7. Chris R. Jacobs, M.D.

    Chris R. Jacobs, M.D.

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

    Endovascular aneurysm repair, Mesenteric artery bypass, Carotid endarterectomy, Aneurysm surgery, Thoracic endovascular... aneurysm repair , Endovascular reconstruction, Carotid artery aneurysm repair, Thoracic aortic aneurysm surgery, Thoracic outlet syndrome, Abdominal aortic aneurysm, Peripheral artery disease, Aortic dissection, Renal artery stenosis, Thoracic aortic aneurysm, Cerebrovascular disease, Carotid artery disease, Carotid body tumor, Arterial embolism, Hemodialysis vascular access dysfunction

  8. Manju Kalra, M.B.B.S.

    Manju Kalra, M.B.B.S.

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

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

  9. Zafer Keser, M.D.

    Zafer Keser, M.D.

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

    Stroke, Carotid artery dissection, Carotid artery disease, Vertebral artery dissection

  10. James P. Klaas, M.D.

    James P. Klaas, M.D.

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

    Stroke, Brain aneurysm, Intracerebral hemorrhage, Subarachnoid hemorrhage, Central nervous system vascular malformation...s, Moyamoya disease, Cerebrovascular disease, Carotid artery disease, Cerebral amyloid angiopathy, CNS vasculitis, Ischemic stroke

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
July 24, 2025
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Carotid artery disease

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