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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.

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Displaying 1-10 out of 22 doctors available

  1. Thomas C. Bower, M.D.

    Thomas C. Bower, M.D.

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

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

  2. Waleed Brinjikji, M.D.

    Waleed Brinjikji, M.D.

    1. Rochester, MN
    Areas of focus:

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

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

  4. Jill J. Colglazier, M.D.

    Jill J. Colglazier, M.D.

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

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

  5. Victor J. Davila, M.D.

    Victor J. Davila, M.D.

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

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

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

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

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

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

  7. 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, Vascular dementia, Retinal vein occlusion, Moyamoya disease, CN...S vasculitis, Fibromuscular dysplasia, Cerebral amyloid angiopathy, Cerebrovascular disease, Optic neuritis, Carotid artery disease, Transient ischemic attack, Double vision, Spinal cord infarction, Stroke

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

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

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

    Telestroke, Cavernous malformations, Carotid dissection, Subarachnoid hemorrhage, Ischemic stroke, Subdural hemorrhage,... Carotid artery disease, Brain aneurysm, Intracerebral hemorrhage

  9. William (Chris) C. Fox, M.D.

    William (Chris) C. Fox, M.D.

    1. Jacksonville, FL
    Areas of focus:

    Revision spinal surgery, Endovascular aneurysm repair, Stereotactic radiosurgery, Carotid angioplasty and stenting, Cer...ebral angiogram, Spinal angiogram, Thrombectomy, Diskectomy, Foraminotomy, Minimally invasive surgery, Spinal fusion, Laminectomy, Endarterectomy, Microvascular surgery, Kyphoplasty, Moyamoya disease, Spinal arteriovenous malformation, Brain aneurysm, Cervical radiculopathy, Lumbar spinal stenosis, Carotid artery disease, Cavernous malformations, Arteriovenous malformation, Cervical spondylosis, Arteriovenous fistula, Brain AVM, Cervical myelopathy, Degenerative disk disease, Degenerative scoliosis, Central nervous system vascular malformations, Stroke, Lumbar radiculopathy, Cervical spinal stenosis

  10. Courtney (Courtney McVey) M. Hrdlicka, M.D.

    Courtney (Courtney McVey) M. Hrdlicka, M.D.

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

    Telestroke, Cerebrovascular disease, Carotid artery disease, Ischemic stroke, Cerebral amyloid angiopathy, Brain hemorr...hage, Fibromuscular dysplasia, Vascular malformation, Transient ischemic attack, Stroke, Embolic stroke

Research

Mayo Clinic researchers are working to improve the diagnosis and treatment of carotid artery disease. Specific efforts include evaluating treatment options for asymptomatic carotid artery disease and surgical techniques for treating symptomatic carotid artery disease as well as assessing which techniques offer best outcomes in light of advances in both 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 are also 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 by Mayo Clinic doctors on carotid artery disease on PubMed, a service of the National Library of Medicine.

Carotid artery disease care at Mayo Clinic

Oct. 04, 2018