Treatment options for patients diagnosed with partially blocked carotid arteries but without symptoms such as a mini-stroke, or transient blindness in one eye (amaurosis fugax), should be carefully considered and recommendation made on an individualized basis, according to a review of medical literature published in Mayo Clinic Proceedings.The carotid arteries connect the heart and the … This is surgery to remove plaque and blood clots from the carotid arteries. When the channel of coronary artery is reduced by more than 50% of the diameter, the artery may become obstructed enough to decrease blood flow to the heart muscle during times of increased need (like exercise or emotional stress). Treatment options include surgery, medication, and intervention. There’s the question of when and how to remove the plaque buildup. Carotid artery angioplasty with … If you have carotid artery disease or the risk factors for carotid artery disease, you need to look for two things when you choosing where to go for treatment. Remember that the patient is NOT free of the primary problem (atherosclerotic coronary artery disease) and the disease usually continues to progress inspite of treatment. Similarly, a blocked artery may require surgical treatment. Risk factors that may be modified include smoking, elevated cholesterol levels, elevated blood glucose levels, lack of exercise, poor dietary habits, and elevated blood pressure. One is experience. Now, this 100% blocked major artery is supplied by collaterals (insufficiently) through another major artery of the heart. The latter is less invasive, but some research is showing that this method may have a higher risk of complications. Treatments for Carotid Artery Stenosis The carotid arteries travel from just above the heart up through the neck to feed the brain. For many reasons, these major arteries may become narrow, decreasing the blood flow to the brain and increasing the risk of stroke. The carotid arteries are blood vessels in the neck that supply the brain with oxygen-rich blood. Treatment Options for Carotid Artery Disease 11/04/2014 For the last 50 years, a diagnosis of narrowing in the carotid arteries (the arteries in the neck that carry blood to the brain) would most likely result in a recommendation of surgery, called a carotid endarterectomy , to prevent a first or recurrent stroke . Endarterectomy may help prevent a stroke in people who have symptoms and a narrowing of 70% or more. Medical Treatment for Carotid Artery Disease Modification of risk factors. Blood flow in this artery can become partly or totally blocked by fatty material called plaque. You have one of these arteries on each side of your neck. Carotid artery surgery is a procedure to treat carotid artery disease. The carotid artery brings needed blood to your brain and face. If you have been diagnosed with carotid artery disease, unfortunately, you are at greater risk of a first or recurrent stroke.Medications will likely be one key component of treatment, alongside lifestyle changes, whether you are at risk of stroke or have already had one.. Carotid artery blockage treatment, typically medication at first and eventually surgery in more severe cases, can reduce the risk of stroke or worse. Plaque buildup in arteries that supply blood to the brain could cause serious damage if pieces break off and reach the brain. Surgical treatment of carotid artery disease includes: Carotid endarterectomy (CEA). A blockage in one of the carotid arteries can be cleared either by endarterectomy or carotid angioplasty. If there is a blockage in your carotid artery, the decision for the treatment is not an instant or minor one. 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