Carotid arteries are located on each side of your neck and provide the main blood supply to your brain. When these arteries become narrowed or have a blockage due to fatty deposits, this is known as carotid stenosis, or carotid artery disease, which is the leading cause of more than 50% of strokes in the United States.
“Atherosclerosis, or hardening of the arteries, is the most common factor behind carotid artery disease,” says Matthew Recht MD, a vascular surgeon with the TriHealth Heart & Vascular Institute.
Over time, plaque narrows arteries and can eventually cause a stroke.
Risk factors include:
It is important to understand carotid artery disease is often asymptomatic. The condition builds slowly over time, and because of this, there are often no signs or symptoms until a stroke or transient ischemic attack (TIA), or mini stroke, occur. If you do experience symptoms, they may include:
If you are diagnosed with carotid artery disease, there are a number of treatment options. “Mild or moderate blockages that are asymptomatic are treated with medications and risk factor modification,” Dr. Recht explains. “Symptomatic patients, or those with severe blockages, will need treatment with a procedure.”
The procedures for carotid disease include endarterectomy (cleaning the artery out) and stenting of the artery. “The decision of which procedure to have depends on your circumstances,” Dr. Recht says. “It’s important to see a doctor familiar with both options.”
Protect yourself from developing carotid artery disease and stroke by adhering to the following:
By adopting a healthy lifestyle, scheduling regular visits with your doctor and knowing your family history, you can help decrease your chances of developing carotid artery disease. If you have any risk factors for developing carotid artery disease, schedule a vascular screening.