Carotid artery disease

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Displaying 1-10 out of 34 doctors available

  1. Waleed Brinjikji

    Waleed Brinjikji

    1. Rochester, MN
    Areas of focus:

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

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

  3. Ana I. Casanegra

    Ana I. Casanegra

    1. Internist
    2. Vascular Medicine Specialist
    1. Rochester, MN
    Areas of focus:

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

  4. Jill J. Colglazier

    Jill J. Colglazier

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

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

  5. Victor J. Davila-Garcia

    Victor J. Davila-Garcia

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

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

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

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

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

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

  7. Oana M. Dumitrascu, M.D.

    Oana M. Dumitrascu, M.D.

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

    Telestroke, Transcranial Doppler test, Botox injection, Stroke, Fibromuscular dysplasia, Carotid artery disease, Transi...ent ischemic attack, Optic neuritis, Vascular dementia, Moyamoya disease, Cerebrovascular disease, Myelin oligodendrocyte glycoprotein antibody-associated disease, Double vision, Cerebral amyloid angiopathy, CNS vasculitis, Spinal cord infarction, Retinal vein occlusion

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

  9. Young M. Erben, M.D.

    Young M. Erben, M.D.

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

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

  10. Sam Farres

    Sam Farres

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

    Carotid endarterectomy, Endovascular treatment, Aneurysm surgery, Thoracic aortic aneurysm surgery, Vascular access sur...gery, Thoracic outlet syndrome, Abdominal aortic aneurysm, Carotid artery disease, Peripheral artery disease, Marfan syndrome, Ehlers-Danlos syndrome, Thoracic aortic aneurysm, Connective tissue disorder, Arterial embolism

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.

By Mayo Clinic Staff

Carotid artery disease care at Mayo Clinic

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Diagnosis & treatmentCare at Mayo Clinic
April 19, 2023
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Carotid artery disease

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