Before a scheduled angioplasty, your doctor reviews your medical history and performs a physical exam. You may also have one or more of the following examinations:
- Ultrasound. A scanner passes over the carotid artery to produce images using sound waves of the narrowed artery and of the blood flow to the brain.
- Magnetic resonance angiography (MRA) or computerized tomography angiography (CTA). These exams provide highly detailed images of blood vessels by using either radiofrequency waves in a magnetic field or by using X-rays with contrast material.
- Carotid angiography. During this exam, contrast material (visible on X-rays) is injected into an artery to better see and examine the blood vessels.
Food and medications
You'll receive instructions on what you can or can't eat or drink before angioplasty. Your preparation may be different if you're already staying at the hospital before your procedure.
The night before your procedure:
- Follow your doctor's instructions about adjusting your current medications. Your doctor may instruct you to stop taking certain medications before angioplasty, particularly if you take certain diabetes medications or blood thinners.
- Take approved medications with only small sips of water.
- Arrange for transportation home. Angioplasty usually requires an overnight hospital stay, and you won't be able to drive yourself home the next day because of lingering effects of the sedative.
Nov. 09, 2017
- Cameron JL, et al. Balloon angioplasty and stents in carotid artery occlusive disease. In: Current Surgical Therapy. 12th ed. Philadelphia, Pa.: Saunders Elsevier; 2017.
- Carotid artery disease. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/catd/catd_all.html. Accessed Aug. 29, 2017.
- Chaikof EL, et al. General principles of endovascular therapy: Angioplasty, stenting, recanalization, and embolization. In: Atlas of Vascular Surgery and Endovascular Therapy. Philadelphia, Pa.: Saunders Elsevier; 2014.
- Mohler ER, et al. Management of symptomatic carotid atherosclerotic disease. https://www.uptodate.com/contents/search. Accessed Aug. 29, 2017.
- Angioplasty and vascular stenting. Radiological Society of North America. http://www.radiologyinfo.org/en/info.cfm?pg=angioplasty. Accessed Aug. 29, 2017.
- Fairman RM, et al. Carotid artery stenting and its complications. https://www.uptodate.com/contents/search. Accessed Aug. 29, 2017.
- Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Sept. 13, 2017.
- Cloft H (expert opinion). Mayo Clinic, Rochester, Minn. Sept. 26, 2017.
- Jauch EC, et al. Guidelines for the early management of patients with acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44:870.
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Carotid angioplasty and stenting