Carotid artery disease

Request an Appointment
Print

Departments and specialties

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.

Departments that treat this condition

Areas that research this condition

Doctors who treat this condition

Edit search filters
close

Narrow your search

  1. There are no doctors whose last name begins with the letter A
  2. Find a doctor whose last name begins with the letter B
  3. Find a doctor whose last name begins with the letter C
  4. Find a doctor whose last name begins with the letter D
  5. Find a doctor whose last name begins with the letter E
  6. Find a doctor whose last name begins with the letter F
  7. There are no doctors whose last name begins with the letter G
  8. Find a doctor whose last name begins with the letter H
  9. There are no doctors whose last name begins with the letter I
  10. Find a doctor whose last name begins with the letter J
  11. Find a doctor whose last name begins with the letter K
  12. Find a doctor whose last name begins with the letter L
  13. Find a doctor whose last name begins with the letter M
  14. Find a doctor whose last name begins with the letter N
  15. Find a doctor whose last name begins with the letter O
  16. There are no doctors whose last name begins with the letter P
  17. There are no doctors whose last name begins with the letter Q
  18. Find a doctor whose last name begins with the letter R
  19. Find a doctor whose last name begins with the letter S
  20. Find a doctor whose last name begins with the letter T
  21. There are no doctors whose last name begins with the letter U
  22. There are no doctors whose last name begins with the letter V
  23. Find a doctor whose last name begins with the letter W
  24. There are no doctors whose last name begins with the letter X
  25. There are no doctors whose last name begins with the letter Y
  26. There are no doctors whose last name begins with the letter Z
Reset all filters

Displaying 11-20 out of 34 doctors available

  1. Chris C. Fox, M.D.

    Chris C. Fox, M.D.

    1. Neurosurgeon
    1. Jacksonville, FL
    Areas of focus:

    Minimally invasive surgery, Stereotactic radiosurgery, Diskectomy, Brain stereotactic radiosurgery, Foraminotomy, Spina...l fusion, Carotid angioplasty and stenting, Endovascular aneurysm repair, Laminectomy, Cerebral angiogram, Microvascular surgery, Kyphoplasty, Spinal angiogram, Thrombectomy, Gamma knife surgery, Endarterectomy, Revision spinal surgery, Stroke, Arteriovenous fistula, Brain aneurysm, Cervical myelopathy, Brain AVM, Carotid artery disease, Cavernous malformations, Degenerative disk disease, Arteriovenous malformation, Central nervous system vascular malformations, Moyamoya disease, Spinal arteriovenous malformation, Lumbar radiculopathy, Lumbar spinal stenosis, Cervical spondylosis, Cervical spinal stenosis, Cervical radiculopathy, Degenerative scoliosis

  2. Ali Hassoun Turkmani, M.D.

    Ali Hassoun Turkmani, M.D.

    1. Neurosurgeon
    1. Phoenix, AZ
    Areas of focus:

    Brain tumor surgery, Brain stereotactic radiosurgery, Spinal cord stimulator insertion, Endovascular treatment, Spinal ...fusion, Carotid angioplasty and stenting, Awake brain surgery, Cerebral angiogram, Brain mapping, Brain aneurysm surgery, Embolization therapy, Microvascular surgery, Minimally invasive neurosurgery, Carotid angiogram, Spinal angiogram, Lumbar diskectomy, Temporal lobectomy, Brain endoscopy, Minimally invasive spine surgery, Endoscopic transnasal transsphenoidal surgery, Endoscopic skull base surgery, Meningioma, Stroke, Brain cancer, Glioma, Brain tumor, Brain metastasis, Epilepsy, Brain aneurysm, Hydrocephalus, Brain AVM, Carotid artery disease, Herniated disk, Astrocytoma, Carotid artery dissection, Trigeminal neuralgia, Cavernous hemangioma, Brain lymphoma, Brain hemorrhage, Dural arteriovenous fistula, Cerebrovascular disease, Lumbar radiculopathy, Lumbar spinal stenosis, Skull base tumor, CSF leak, Cervical herniated disk, Low grade glioma of brain

  3. Stan Henkin

    Stan Henkin

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

    Anticoagulant therapy, Aneurysm, Abdominal aortic aneurysm, Fibromuscular dysplasia, Deep vein thrombosis, Pulmonary em...bolism, Carotid artery disease, Peripheral artery disease, Vasospastic disorders, Aortic aneurysm, Marfan syndrome, Aortic dissection, Spontaneous coronary artery dissection, Carotid artery dissection, Ehlers-Danlos syndrome, Raynaud's disease, Venous thrombosis, Renal artery stenosis, Thoracic aortic aneurysm, Thrombophilia, Arterial embolism, Loeys-Dietz syndrome, Visceral artery aneurysm

  4. Courtney M. Hrdlicka

    Courtney M. Hrdlicka

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

    Telestroke, Transcranial Doppler test, Carotid ultrasound, Stroke, Carotid artery disease, Transient ischemic attack, B...rain hemorrhage, Cerebrovascular disease, Cerebral amyloid angiopathy, Ischemic stroke

  5. Josephine F. Huang

    Josephine F. Huang

    1. Neurologist
    1. Jacksonville, FL
    Areas of focus:

    Telestroke, Stroke prevention, Stroke, Brain aneurysm, Brain AVM, Antiphospholipid syndrome, Hereditary hemorrhagic tel...angiectasia, Carotid 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, Ischemic stroke, Cerebral microbleeds, CADASIL, Vascular malformation, Carotid dissection

  6. Thien Huynh

    Thien Huynh

    1. Radiologist
    1. Jacksonville, FL
    Areas of focus:

    Endovascular treatment, Carotid angioplasty and stenting, Vertebroplasty, Cerebral angiogram, Epidural blood patch, Epi...dural steroid injection, Kyphoplasty, Spinal angiogram, Nerve block, Spine procedure, Intracranial stenting, Petrosal sinus sampling, Stroke, Arteriovenous fistula, Brain aneurysm, Brain AVM, Carotid artery disease, Arteriovenous malformation, Spinal arteriovenous malformation, Dural arteriovenous fistula, Vertebral artery stenosis, CSF leak, Compression fracture

  7. Chris R. Jacobs, M.D.

    Chris R. Jacobs, M.D.

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

    Carotid endarterectomy, Endovascular aneurysm repair, Mesenteric artery bypass, Aneurysm surgery, Thoracic endovascular... aneurysm repair , Endovascular reconstruction, Carotid artery aneurysm repair, Thoracic aortic aneurysm surgery, Thoracic outlet syndrome, Abdominal aortic aneurysm, Carotid artery disease, Peripheral artery disease, Aortic dissection, Renal artery stenosis, Thoracic aortic aneurysm, Cerebrovascular disease, Carotid body tumor, Arterial embolism, Hemodialysis vascular access dysfunction

  8. Manju Kalra

    Manju Kalra

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

    Carotid endarterectomy, Carotid angioplasty and stenting, Vena cava reconstruction, Mesenteric artery bypass, Lymphoven...ous bypass, Renal artery stenting, Renal artery endarterectomy, Arteriovenous malformation surgery, Aneurysm surgery, Renal artery bypass, Renal artery angioplasty, Vascular stenting, Celiac artery bypass, Arteriovenous fistula surgery, Aortoenteric fistula repair, Angioplasty, Aortocaval fistula repair, Vascular recanalization, Endovenous laser ablation, Vascular bypass surgery, Thrombolysis, Arterial bypass surgery, Aortic aneurysm repair, Thrombectomy, Laser ablation, Graft surveillance, Fistulogram, Angiogram, Femoral endarterectomy, Thoracoabdominal aneurysm surgery, Thoracic aortic aneurysm surgery, Varicose vein ablation, Stroke, Aneurysm, Thoracic outlet syndrome, Venous aneurysm, Abdominal aortic aneurysm, Arteriosclerosis/atherosclerosis, Fibromuscular dysplasia, Deep vein thrombosis, Arteriovenous fistula, Midaortic syndrome, Varicose vein, Carotid artery disease, Transient ischemic attack, Peripheral artery disease, Aortic aneurysm, Marfan syndrome, Lymphedema, Aortic dissection, Claudication, Carotid artery dissection, Ehlers-Danlos syndrome, Venous thrombosis, Arteriovenous malformation, May-Thurner syndrome, Mesenteric ischemia, Renal artery stenosis, Venous disorder, Takayasu's arteritis, Popliteal aneurysm, Klippel-Trenaunay syndrome, Thoracic aortic aneurysm, Cerebrovascular disease, Vascular graft infection, Arterial aneurysm, Chylous effusion, Popliteal artery entrapment syndrome, Venous ulcer, Aortic ulcer, Carotid body tumor, Chylous ascites, Chylothorax, Vertebral artery disease, Critical limb ischemia, Vascular malformation, Venous insufficiency, Nutcracker syndrome , Thoracoabdominal aortic aneurysm, Aortic disorder, Aortoiliac disease, Renal artery aneurysm

  9. Zafer Keser

    Zafer Keser

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

    Stroke, Carotid artery disease, Carotid artery dissection, Vertebral artery dissection

  10. James P. Klaas

    James P. Klaas

    1. Neurologist
    1. Rochester, MN
    Areas of focus:

    Stroke, Brain aneurysm, Carotid artery disease, Intracerebral hemorrhage, Subarachnoid hemorrhage, Central nervous syst...em vascular malformations, Moyamoya disease, Cerebrovascular disease, Cerebral amyloid angiopathy, CNS vasculitis, Ischemic stroke

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

Request an appointment
Diagnosis & treatmentCare at Mayo Clinic
April 19, 2023
Print

Related

Associated Procedures

Carotid artery disease

Research: It's all about patients

[MUSIC PLAYING]

Joseph Sirven, M.D., Professor of Neurology, Mayo Clinic: Mayo's mission is about the patient. The patient comes first. So the mission and research here is to advance how we can best help the patient, how to make sure the patient comes first in care. So in many ways, it's a cycle. It can start with as simple as an idea worked on in a laboratory, brought to the patient bedside, and if everything goes right — and let's say it's helpful or beneficial — then brought on as a standard approach. And I think that is one of the unique characteristics of Mayo's approach to research — that patient-centeredness — that really helps to put it in its own spotlight.