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Home > West Medicine > Internal Medicine > Cardiology
I65.200x001

Carotid Stenosis

心内科

Common symptoms

昏迷、失眠、驻站医、血管杂音、嗜睡、动脉粥样硬化、偏盲、脑缺血、耳鸣、眩晕、感觉障碍

The pathology of disease

Carotid stenosis is narrowing of the carotid artery (most often at the bifurcation) due to atherosclerosis, causing transient ischemic attacks or ischemic stroke. Treatment: antiplatelet therapy (aspirin/clopidogrel); statin; control BP/lipids/diabetes/smoking; carotid endarterectomy (CEA) for symptomatic severe (70-99%) or selected moderate stenosis; carotid artery stenting (CAS) for high surgical risk; surveillance for asymptomatic moderate stenosis.

Common Symptoms

TIA/stroke symptoms; carotid bruit; asymptomatic or symptomatic (amaurosis fugax/hemispheric)

Causes and Pathogenesis

Atherosclerotic plaque narrows the carotid bifurcation, causing embolism or hypoperfusion.

Treatment

Antiplatelet/statin; control risk factors; CEA for symptomatic severe; CAS for high risk; surveillance

Preventive Measures

Control BP/lipids/DM; no smoking; antiplatelet/statin.

Department to Visit

It is recommended to visit the Neurology/Vascular-surgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.