What is Carotid (Carotid) Disease?

They are diseases of the main arteries to the brain. Carotid stenosis and occlusions are directly related to stroke, resulting in loss of some brain functions and temporary or permanent paralysis. Since the most important cause is atherosclerosis, it is frequently seen with other cardiovascular diseases.

What are the Symptoms for Carotid Stenosis or Occlusion?

Most of the symptoms of carotid stenosis or occlusion are does not. They can be detected in color Doppler ultrasonography performed for control purposes. Temporary or permanent stroke may develop in some other patients. This may present with temporary or permanent vision loss, speech disorder and paralysis in the arms and legs. Loss of functions of this brain region with impaired circulation is observed. In mild cases, these findings are transient and are called transient ischemic attack (TIA). These findings may be permanent in a group of patients. Some of this patient group may die, while others will need care.

Who is at Risk for Carotid Stenosis or Occlusion?

What are the Diagnostic and Treatment Methods for Carotid Stenosis or Occlusion?

In order to make a definitive diagnosis as a result of the patient's complaints and examination findings, imaging methods should be applied.<

  • Neck color Doppler ultrasonography,
  • MR angiography
  • CT angiography
  • Classical angiography are imaging methods used in diagnosis.
  • What are the Treatment Methods for Carotid Stenosis or Occlusion?

    Open surgery (carotid endarterectomy) or closed (endovascular) method can be applied in suitable patients for treatment.

    Open Surgery

    Open surgery can be performed with local, spinal or general anesthesia. The plaque forming the stenosis is surgically removed. It is sufficient for the patient to stay in the hospital for 2-3 days.

    Endovascular Method It is anesthetized with the thesis and entered into the inguinal artery with special needles. Angiography is performed to determine the location of the stenosis. Before stenting, a temporary filter is attached to prevent small particles from entering the cerebral bloodstream. Then, the stenosis is opened by placing a stent (metal tube) in the stenosis area. Stenting is an equally successful method with open surgery. It is sufficient for the patients to stay in the hospital for one day after the procedure. Carotid disease, which means stenosis in the neck vessels that feed the brain; It is common in heart patients. Constriction in the neck veins can lead to hand numbness, dizziness, paralysis, and even death. Its main cause is atherosclerosis, known as hardening of the arteries. It is recommended that every patient who will undergo heart surgery be checked in this respect before surgery and operated if necessary.

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