The doppler study and MRI A angiogram showed 100% blockage of left internal carotid artery. The right artery had 30% 40% of block. His colateral blood is normal. he had diabeties and Bp for the past 1 1/2 years. he got blood supply through right arteries.. He never had any health problems before, he doesn't smoke, doesn't drink, he undergone treatment, what is my doubt is, is this lead to any lifethreat. how to prevent it. Does he needs an angiogram every year?
I have to agree with Ed on this one. The symptoms he is describing are indusive of heart disease and the angiogram is a better look at the arteries from the inside. With carotid arteries becoming blocked there is more dizziness, visual disturbances and confusion. Like the symptoms of a stroke. Is there any particular reason the doctors are treating this as Lymes Disease?
Firstly I only know of one Carotid artery on each side of the neck, not two. I would question why he said this. I think basically what has turned events is the fact that the
blockage on the left side has been seen as too much of a risk to leave alone. With no
blood supplied from the right, if the left blocks then death is imminent. I have found through experience that a Cardiologist will not say he can do something if he cannot.
The results of stenosis of each coronary artery and LVEF (heart failure) were correlated to carotid artery stenosis but no association was found to cerebrovascular parameters. Only severity of coronary artery disease and the Gensini score (a scoring system for evaluating collateral circulation of the coronary arteries) associated with disturbed cerebrovascular reactivity. Carotid artery stenosis was associated with decreased cerebrovascular parameters.
They found a 4mm carotid aneurysm in my scan last week. I am to get a CT Angiogram Wed and then see the neurosurgeon in August. I am on coumadin due to a blood clot in my sagittal sinus (reason why they found the aneurysm) from 2009. Was just wondering if someone has been through this process before and what I need to expect.
I was diagnosed with FMD 3 months ago and have a stent in my left illiac artery. I do not know yet what other arteries may be affected. I read that it can affect any arteries in the body with the carotid and renal the most common. Mine was affecting my legs and I am supposed to have another angiogram so they can take care of the right illiac.
Hi
I am not a medical person but as far as I am aware nuclear testing shows the blood flow through the coronary arteries to the heart muscle, this can detect any narrowings or blockages as well as areas of scar tissue from a heart attack. The carotid artries supply the brain with blood and a carotid artery ultrasound is required to detect narrowing in these arteries.
So to answer your question nuclear testing will not show any damage/narrowing/disease in your carotid arteries.
Given my other results, should I have gone directly to the more conventional angiogram in spite of the slightly greater risk? If there is a good chance that I will need an angiogram anyway, am I not putting myself at risk by going through another step? Is there a good publication for lay people that I can read that might shed more light on this question?
How did this happen? We now have to get a CT angiogram of the carotid and other heart tests. He is on plavix, no statins. He quit smoking after the stroke. He is upset they won't clear him to take out the gall bladder yet. What are the risks of surgery with his current carotid function (40-45% on the right side) too? Is there an up side to his having some returning blood flow to the left side or do we need to worry more about another stroke??
I am a male 60 year old. Went for a free ultrasound of carotid artery and was given the following
1. no stenosis, no plaque, normal antegrade flow , no subclavian steal.
2. ica/caa ratio right .63 ica/caa ratio left .91
3. mild intimal thickening l>r possible cardiac disease process
Is this report good for a person of my age? I'm concerned with item 3 - What is your opinion?
has ordered is a CT angiogram to check arteries, etc. I am very worried about the exposure of radiation that this test gives off.
I also had a CTA of the Aortic Arch and Head back in 2009 when my doctor was worried about a carotid bruit that he kept hearing in my right neck. That test proved ok and it was determined that the bruit was coming from my mitral valve regurgitation that was radiating sound up to the carotids.
I had a stroke due to a 100 percent occlusion of the carotid artery. After being on warfarin and plavix separatelyI had a TIA ,I am currently on both,and so far so good.Is this normal that my bleeding and bruising disappeared after combing the two drugs? i am happy but confused.
Thanks
Terry926
This discussion is related to <a href="/posts/Heart-Disease/Plavix-vs-Coumadin/show/254168">Plavix vs Coumadin</a>.
Hi there. Carotid artery occlusive is a permanent but treatable condition. The most usual method of surgery, carotid endarterectomy aims to remove the plaque from the artery. Balloon angioplasty with the placement of a stent may be advised. If the carotid artery is, 100% blocked then it is unlikely that any thing could clear it since the risk of stroke is too high during or after surgery. Maximum efforts are taken to keep the opposite artery patent.
The third possibility is that either there is a narrowing of carotid artery or a clot causing blood to push against great force.
A carotid angiogram or Doppler is a must for confirmed diagnosis. Treatment is by stents or medicines.
Also since putting pressure on the artery helps, this goes more in favor of the noise that you hear to be due to blood flowing in the carotid artery maybe against high pressure.
Hope this helps. Please let me know if there is any thing else and do keep me posted.
If a artery is completely clogged on the right side of neck that supplies blood to the brain, can anything be done for this condition
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