Carotid artery disease is a condition where plaque buildup (atherosclerosis) narrows or blocks the carotid arteries, which supply blood to the brain. This plaque can dislodge or progress to cause complete occlusion of the carotid artery.
This can result in transient ischemic attacks (TIA) or a permeant stroke. Carotid artery disease can also be asymptomatic and detected with clinical examination and imaging.
Following comprehensive assessment treatment options will be discussed. This will include commencing best medical therapy and risk factor/lifestyle modification. The decision to proceed to surgical intervention will be based on the severity of carotid disease and the surgical risk profile of the patient.
This is an open vascular surgical operation which involves careful removal of the plaque from within the carotid artery. The artery is then usually closed with a vascular patch to help ensure the artery does not re-narrow. The operation can be performed under general or local anaesthetic and will usually require a two-night stay in hospital.
This is an endovascular (minimally invasive) procedure which involves performing an angiogram of the carotid artery and brain via access from an artery in the groin. A stent can then be placed to treat the diseased plaque. This procedure will usually require one night in hospital.
Dr Nathan Biggs will discuss the best treatment option for your individual presentation.
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