Carotid artery disease

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Displaying 21-30 out of 36 doctors available

  1. James P. Klaas, M.D.

    James P. Klaas, M.D.

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

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

  2. Giuseppe Lanzino, M.D.

    Giuseppe Lanzino, M.D.

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

    Carotid angioplasty and stenting, Brain tumor surgery, Brain shunt placement, Brain aneurysm surgery, Carotid artery di...sease, Moyamoya disease, Cavernous malformations, Hereditary hemorrhagic telangiectasia, Arteriovenous malformation, Embolic stroke, Central nervous system vascular malformations, Spinal arteriovenous malformation, Dural arteriovenous fistula

  3. Michelle P. Lin, M.D., M.P.H.

    Michelle P. Lin, M.D., M.P.H.

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

    Stroke prevention, Angiogram, Image-guided diagnostic procedure, Transcranial Doppler test, Telestroke, Stroke, Heart f...ailure, Atrial fibrillation, Carotid artery disease, Moyamoya disease, Vascular dementia, Thrombophilia, Cerebrovascular disease, Intracranial hemorrhage, Small vessel white matter disease

  4. Irene Meissner, M.D.

    Irene Meissner, M.D.

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

    Stroke prevention, Stroke, High blood pressure, Carotid artery disease, Subarachnoid hemorrhage, Ischemic stroke, Intra...cerebral hemorrhage, Brain aneurysm, CNS vasculitis, Embolic stroke

  5. Andrew J. Meltzer, M.D., M.B.A.

    Andrew J. Meltzer, M.D., M.B.A.

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

    Endovascular treatment, Endovascular aneurysm repair, Endovenous thermal ablation, Minimally invasive surgery, Vein pro...cedure, Carotid endarterectomy, Aneurysm surgery, Thoracic aortic aneurysm, Abdominal aortic aneurysm, Peripheral artery disease, Claudication, Carotid artery disease, Arteriovenous fistula, Venous insufficiency, Aneurysm, Popliteal artery aneurysm

  6. Deena M. Nasr, D.O.

    Deena M. Nasr, D.O.

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

    Telestroke, Stroke, Carotid artery disease, Moyamoya disease, Cerebral amyloid angiopathy, Subarachnoid hemorrhage, Isc...hemic stroke, Intracerebral hemorrhage, Brain aneurysm, Vascular malformation, Embolic stroke, Central nervous system vascular malformations, Spinal cord infarction

  7. Andrew A. Oldenburg, M.D.

    Andrew A. Oldenburg, M.D.

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

    Aneurysm surgery, Thoracic aortic aneurysm, Abdominal aortic aneurysm, Peripheral artery disease, Carotid artery diseas...e, Mesenteric ischemia

  8. Mateo Porres Aguilar, M.D., M.C.

    Mateo Porres Aguilar, M.D., M.C.

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

    Anticoagulant therapy, Deep vein thrombosis, Pulmonary embolism, Carotid artery disease, Aneurysm, Thrombophilia, Venou...s thrombosis, Congenital blood clotting disorder, Arterial embolism, Arterial aneurysm, Thrombophlebitis, Vasospastic disorders, Visceral artery aneurysm, Fibromuscular dysplasia of artery

  9. Todd E. Rasmussen, M.D.

    Todd E. Rasmussen, M.D.

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

    Thrombectomy, Carotid angiogram, Endovascular treatment, Varicose vein ablation, Angiogram, Carotid angioplasty and ste...nting, Fistulogram, Endovascular aneurysm repair, Varicose vein stripping, Arteriovenous fistula surgery, Transcarotid artery revascularization, Carotid endarterectomy, IVC filter removal, Angioplasty, Thrombolysis, Aneurysm surgery, Thoracoabdominal aortic aneurysm repair, Arteriovenous malformation surgery, Mesenteric artery bypass, Renal artery bypass, Carotid artery reconstruction, Aortoenteric fistula repair, Aortocaval fistula repair, Aortic aneurysm repair, Thoracic outlet decompression, Endovascular reconstruction, Inferior vena cava filter placement, Thoracic aortic aneurysm surgery, Femoral endarterectomy, Peripheral vessel stenting, Thoracoabdominal aneurysm surgery, Thoracic endovascular aneurysm repair , Carotid artery aneurysm repair, Tibial angioplasty, Femoral-popliteal bypass, Carotid-carotid bypass, Pseudoaneurysm repair, Aortobifemoral bypass, Axillobifemoral bypass, Peripheral arterial aneurysm repair, Femoral-tibial bypass, Upper extremity bypass, Carotid-subclavian bypass, Popliteal stenting, Femoral stenting, Popliteal-pedal bypass, Thoracofemoral bypass, Aortic aneurysm, Thoracic aortic aneurysm, Abdominal aortic aneurysm, Peripheral artery disease, Lymphedema, Deep vein thrombosis, Claudication, Thoracic outlet syndrome, Aortic valve stenosis, Carotid artery disease, Fibromuscular dysplasia, Mesenteric ischemia, Varicose vein, Klippel-Trenaunay syndrome, Thrombus, Marfan syndrome, Arteriovenous fistula, Aortic disorder, Renal artery stenosis, Aortic dissection, Venous insufficiency, Arteriosclerosis/atherosclerosis, Aneurysm, Arteriovenous malformation, Venous malformation, Vascular malformation, Carotid body tumor, Vascular anomaly, Median arcuate ligament syndrome, Ehlers-Danlos syndrome, Cerebrovascular disease, Critical limb ischemia, Venous disorder, Venous thrombosis, Takayasu's arteritis, Carotid artery dissection, Aortic valve disease, Intestinal ischemia, Venous aneurysm, Popliteal artery aneurysm, Vascular graft infection, Popliteal artery entrapment syndrome, Aortic ulcer, Nutcracker syndrome , Renal artery aneurysm, Thoracoabdominal aortic aneurysm, Aortoiliac disease, Dysphagia lusoria, Arterial aneurysm, Thrombophlebitis, Aortoenteric fistula, Mesenteric occlusion, Celiac artery aneurysm, SMA dissection, Pseudoaneurysm, Kommerell diverticulum, SMA aneurysm, Celiac artery dissection, Central vein stenosis

  10. Lorenzo Rinaldo, M.D., Ph.D.

    Lorenzo Rinaldo, M.D., Ph.D.

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

    Embolization therapy, Carotid angioplasty and stenting, Craniotomy, Endovascular aneurysm repair, Arteriovenous fistula... surgery, Carotid endarterectomy, Brain biopsy, Tumor resection, Aneurysm surgery, Arteriovenous malformation surgery, Stroke, Meningioma, Carotid artery disease, Moyamoya disease, Arteriovenous fistula, Brain tumor, Glioblastoma, Arteriovenous malformation, Cerebral arterial aneurysm, Benign brain tumor

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.

Research Profiles

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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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Living with carotid artery disease?

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Carotid artery disease

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