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Patient information: Carotid artery disease (The Basics)
Written by the doctors and editors at UpToDate
What is carotid artery disease? Carotid artery disease is a condition that can increase a persons risk of
having a stroke. The condition does not usually cause symptoms. It happens when fatty deposits called plaque
build up inside 2 blood vessels called the carotid arteries. These are the main blood vessels that bring blood to the
brain. When plaque forms in these arteries, the arteries can become narrow (figure 1).
What are the symptoms of carotid artery disease? Carotid artery disease does not usually cause
symptoms. But it can cause strokes and TIAs (described below):
Strokes A stroke is when a part of the brain dies because it goes without blood and oxygen for too long.
Carotid artery disease can lead to strokes, because blood clots can form inside the narrowed artery. Then
the clots and other material from the fatty plaque can travel to the brain and clog smaller arteries.
Some people recover from strokes without lasting effects or with only minor problems. But many people have
serious problems after a stroke. After a stroke, some people are:
Unable to speak or understand speech
Paralyzed on one half of their body
Unable to dress, feed, or take care of themselves
TIAs TIA stands for transient ischemic attack. TIAs are basically strokes that last only a short time. But
they do not cause brain damage. TIAs happen when a blood vessel in the brain gets clogged briefly and then
reopens. People who have TIAs can have the symptoms of a stroke, but the symptoms go away in a short
time. People who have TIAs are at very high risk of having a full-blown stroke.
Is there a test for carotid artery disease? Yes. Doctors can listen to each carotid artery with a stethoscope.
They do this to check for a swishing sound that occurs when the artery is partly blocked. But to be sure, doctors
also can use one of the following tests, which create pictures of the arteries:
Carotid duplex ultrasound This test uses sound waves to create pictures.
Magnetic resonance angiography (MRA) This test uses a magnet to create pictures. It works the same
way that MRI tests work. Before having MRA, most people get an injection of a chemical that makes the
arteries show up more clearly.
Computed tomography angiography (CTA) This test uses a special kind of x-ray called a CT scan.
Before having the scan, people get an injection of a chemical that makes the arteries show up more clearly.
There is another test that doctors sometimes use, called a cerebral angiogram. But that is not usually necessary.
How is carotid artery disease treated? Treatments for carotid artery disease focus mostly on preventing
stroke. Treatments can include:
Lifestyle changes People can reduce their risk of stroke by: