P: (480) 668-5000

F: (480) 668-5065
English Español

How is Carotid Artery Disease treated?

In terms of treatment for carotid disease we stratify patients into asymptomatic or symptomatic because the treatment options for both tend to differ, patients who have no symptoms, technically asymptomatic, we usually will treat with risk modification, and that entails things such as lowering cholesterol with traditional statin medications, trying to get patients to quit smoking, you want to control their blood pressure and get it within an acceptable range either by diet and exercise or medications, and the other things would be controlling blood sugar levels, having your hemoglobin a1c monitored, other medications include antiplatelet therapy and those medications are traditionally aspirin which most people are familiar with, things of that nature, and the whole purpose of that aggressive medical therapy is to prevent the disease process from progressing to the point where it might need to have surgical intervention. In terms of treating patients with symptomatic carotid disease, those would be patients who may develop visual changes, weakness on one side of their body, or patients who have had slurred speech, those patients we tend to be fairly aggressive with treatment and the treatment options for those patients would generally be maximum medical therapy and very frequently we would require surgical intervention. Currently the gold standard for treating patients who have symptomatic carotid disease is carotid endarterectomy which is a surgical option where the artery is opened, cleaned out, and then patched and closed, an alternative to that would be carotid stenting in patients who are at high risk for the open surgical procedure.

Comments are closed.