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Carotid Artery Disease

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Carotid Artery Disease in San Antonio TX


Up to 3% of Americans aged 65 and older have carotid artery disease, which increases the risk of a stroke. Thankfully, prompt diagnosis and treatment can reduce the risk of complications.

At Texas Cardiac and Vascular Specialists (TCVS) in San Antonio, TX, we provide a team approach to high-quality care for carotid artery disease. Our experienced vascular surgeons utilize cutting-edge diagnostics, such as ultrasounds, to quickly identify and treat carotid artery disease.

Call Texas Cardiac and Vascular Specialists to schedule carotid artery disease treatment or book your visit online today.

What is carotid artery disease?


Carotid artery disease, also called carotid stenosis, occurs when fatty deposits (plaques) block the blood vessels responsible for transporting oxygen-rich blood to your brain. Without treatment, these blockages can increase the risk of stroke, a medical emergency.
Signs & Symptoms

What are the symptoms of carotid artery disease?

Carotid artery disease often progresses silently, with no symptoms until a serious event occurs. The first indication may be a transient ischemic attack (TIA), which is temporary, or a stroke, which causes permanent damage. Warning signs to watch for include:

  • Numbness or weakness:
    • Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body.
  • Amaurosis Fugax:
    • Temporary visual loss in one eye.
  • Aphasia:
    • Trouble speaking.

If you or a loved one experiences any of these symptoms, call 911 or visit your nearest emergency room immediately.

Diagnosis

How is carotid artery disease diagnosed?

Your Texas Cardiac and Vascular Specialists provider begins by reviewing your medical history and lifestyle. During the physical exam, they listen to the blood flow in your carotid artery using a stethoscope. A swooshing sound may indicate a partial blockage.

Next, your provider assesses your speech, memory, and strength. They may also order imaging tests, such as:

  • Ultrasound: High-frequency sound waves are used to assess blood flow in the carotid arteries and check for blockages.
  • Intra-arterial caterer-based angiography.
Treatment

How is carotid artery disease treated?

  • Lifestyle Modifications: If the artery blockage is mild, healthy lifestyle changes like losing weight, eating a balanced diet, and exercising regularly can help reduce fatty buildup. Strict avoidance of tobacco products.
  • Medications: Antiplatelet (aspirin), blood pressure and cholesterol-lowering medications may also be prescribed to prevent further complications.

For severe artery blockages or patients with a history of stroke, surgical intervention may be necessary. Common procedures include:

  • Carotid Endarterectomy:
    • During this surgery, your surgeon makes an incision in the front of your neck, opens the blocked artery, and removes the fatty buildup. The artery is then repaired using stitches or a graft.
  • Carotid Angioplasty and Stenting:
    • This minimally invasive procedure is recommended for hard-to-reach blockages or patients with a history of stroke. A tiny balloon is inserted into a catheter, inflated to widen the blocked artery, and a stent (small mesh tube) is placed to keep the artery open.

Call TCVS to schedule carotid artery disease treatment or book your appointment today.

Similar Conditions


angiogram

Peripheral Artery Disease

PAD occurs when fatty deposits build up in the arteries, reducing blood flow to the limbs and increasing the risk of heart attack and stroke. 
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Deep Venous Thrombosis

A condition where blood clots form in the deep veins, commonly in the legs, and can cause life-threatening complications.
ultrasound

Leg Pain

Chronic leg pain can indicate underlying vascular conditions like PAD or venous disease, requiring prompt evaluation.
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