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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.

Doctors who treat this condition

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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:

    Thrombectomy, Endoscopic procedure, Carotid angioplasty and stenting, Brain stereotactic radiosurgery, Endovascular ane...urysm repair, Cerebral angiogram, Endarterectomy, Kyphoplasty, Stereotactic radiosurgery, EC-IC bypass , Microvascular surgery, Gamma knife surgery, Stroke, Trigeminal neuralgia, Meningioma, Subdural hematoma, Carotid artery disease, Pituitary tumor, Hydrocephalus, Moyamoya disease, Arteriovenous fistula, Spinal stenosis, Brain tumor, Intraventricular hemorrhage, Cervical radiculopathy, Cervical spondylosis, Intracerebral hemorrhage, Brain aneurysm, Cavernous malformations, Brain AVM, Spinal fracture, Spinal compression fracture, Aneurysm, Arteriovenous malformation, Carotid body tumor, Spinal cord tumor, Cervical myelopathy, Cervical spinal stenosis, Hemangioblastoma, Cervical spondylotic myelopathy, Cervical spondylolisthesis, Cervical herniated disk, Central nervous system vascular malformations, Spinal arteriovenous malformation, Hemifacial spasm, Carotid artery dissection, Cranial nerve palsy, Pineal tumor, Glossopharyngeal neuralgia, Brain hemorrhage, Vertebrobasilar insufficiency, Vertebral artery disease, Pituitary mass, Schwannoma, Cavernous hemangioma

  2. Waleed Brinjikji, M.D.

    Waleed Brinjikji, M.D.

    1. Rochester, MN
    Areas of focus:

    Embolization therapy, Carotid angioplasty and stenting, Sclerotherapy, Endovascular aneurysm repair, Carotid artery dis...ease, Ischemic stroke, Pseudotumor cerebri, Brain aneurysm, Brain AVM, Hereditary hemorrhagic telangiectasia, Venous malformation, Vascular malformation, Central nervous system vascular malformations, Spinal arteriovenous malformation, Dural arteriovenous fistula, 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, Transient ischemic attack, Stroke, Carotid artery disease, Brain aneurysm, Cavernous malformations, ...CNS vasculitis, Arteriovenous malformation, Central nervous system vascular malformations, Embolic stroke

  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:

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

  5. Jill J. Colglazier, M.D.

    Jill J. Colglazier, M.D.

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

    Thrombectomy, Endovascular treatment, Vascular bypass surgery, Varicose vein ablation, Radiofrequency ablation, Angiogr...am, Vein removal, Fistulogram, Endovascular aneurysm repair, Arterial bypass surgery, Arteriovenous fistula surgery, Carotid endarterectomy, Vascular stenting, Angioplasty, Thrombolysis, Aneurysm surgery, Open vascular reconstruction, Mesenteric artery bypass, Renal artery stenting, Renal artery endarterectomy, Renal artery bypass, Renal artery angioplasty, Celiac artery bypass, Carotid artery reconstruction, Thoracic endovascular aneurysm repair , Aortoenteric fistula repair, Aortocaval fistula repair, Vascular recanalization, Aortic aneurysm repair, Thoracic outlet decompression, Endovascular reconstruction, Thoracic aortic aneurysm surgery, Femoral endarterectomy, Aortic aneurysm, Thoracic aortic aneurysm, Abdominal aortic aneurysm, Peripheral artery disease, Deep vein thrombosis, Claudication, Thoracic outlet syndrome, Carotid artery disease, Fibromuscular dysplasia, Mesenteric ischemia, Marfan syndrome, Arteriovenous fistula, Varicose vein, Renal artery stenosis, Aortic dissection, Venous insufficiency, Arteriosclerosis/atherosclerosis, Aneurysm, Arteriovenous malformation, Venous malformation, Vascular malformation, Carotid body tumor, Median arcuate ligament syndrome, Ehlers-Danlos syndrome, Critical limb ischemia, Venous disorder, Venous aneurysm, Arterial aneurysm, Carotid artery dissection, Takayasu's arteritis, Popliteal artery aneurysm, Vascular graft infection, Popliteal artery entrapment syndrome, Aortic ulcer, Nutcracker syndrome , Renal artery aneurysm, Thoracoabdominal aortic aneurysm, Aortoiliac disease

  6. Victor J. Davila, M.D.

    Victor J. Davila, M.D.

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

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

    Thrombectomy, Vascular bypass surgery, Varicose vein ablation, Radiofrequency ablation, Angiogram, Carotid angioplasty ...and stenting, Vein removal, Fistulogram, Arterial bypass surgery, Arteriovenous fistula surgery, Transcarotid artery revascularization, Carotid endarterectomy, Vascular stenting, Venography, Angioplasty, Thrombolysis, Arteriovenous malformation surgery, Vena cava reconstruction, Open vascular reconstruction, Mesenteric artery bypass, Renal artery stenting, Renal artery endarterectomy, Vertebral artery reconstruction, Renal artery bypass, Renal artery angioplasty, Celiac artery bypass, Carotid artery reconstruction, Aortoenteric fistula repair, Aortocaval fistula repair, Vascular recanalization, Aortic aneurysm repair, Thoracic outlet decompression, Endovascular reconstruction, Inferior vena cava stenting, Inferior vena cava filter placement, Thoracic aortic aneurysm surgery, Thoracoabdominal aortic aneurysm repair, Femoral endarterectomy, Transient ischemic attack, Aortic aneurysm, Thoracic aortic aneurysm, Abdominal aortic aneurysm, Peripheral artery disease, Deep vein thrombosis, Claudication, Thoracic outlet syndrome, Carotid artery disease, Fibromuscular dysplasia, Mesenteric ischemia, Klippel-Trenaunay syndrome, Marfan syndrome, Arteriovenous fistula, Aortic disorder, Varicose vein, 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, Intestinal ischemia, Venous aneurysm, Venous thrombosis, Carotid artery dissection, Takayasu's arteritis, Midaortic syndrome, Inferior vena cava occlusion, May-Thurner syndrome, Popliteal artery aneurysm, Vascular graft infection, Popliteal artery entrapment syndrome, Aortic ulcer, Renovascular disease, Iliac vein occlusion, Deep vein valve incompetence, Nutcracker syndrome , Renal artery aneurysm, Thoracoabdominal aortic aneurysm, Aortoiliac disease

  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, Transient ischemic attack, Stroke, Retinal vein occlusion, Caro...tid artery disease, Fibromuscular dysplasia, Moyamoya disease, Cerebral amyloid angiopathy, CNS vasculitis, Vascular dementia, Myelin oligodendrocyte glycoprotein antibody-associated disease, Optic neuritis, Cerebrovascular disease, Double vision, Spinal cord infarction, Embolic stroke

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

  10. Young M. Erben, M.D.

    Young M. Erben, M.D.

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

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

Research Profiles

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July 24, 2025

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