Carotid artery disease

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Displaying 11-20 out of 34 doctors available

  1. Chris C. Fox, M.D.

    Chris C. Fox, M.D.

    1. Neurosurgeon
    1. Jacksonville, FL
    Areas of focus:

    Spinal fusion, Brain stereotactic radiosurgery, Laminectomy, Carotid angioplasty and stenting, Stereotactic radiosurger...y, Diskectomy, Minimally invasive surgery, Thrombectomy, Spinal angiogram, Kyphoplasty, Cerebral angiogram, Gamma knife surgery, Endarterectomy, Microvascular surgery, Endovascular aneurysm repair, Revision spinal surgery, Foraminotomy, Arteriovenous malformation, Central nervous system vascular malformations, Arteriovenous fistula, Cervical spondylosis, Cavernous malformations, Moyamoya disease, Lumbar spinal stenosis, Cervical spinal stenosis, Cervical myelopathy, Stroke, Degenerative disk disease, Brain aneurysm, Cervical radiculopathy, Lumbar radiculopathy, Brain AVM, Carotid artery disease, Spinal arteriovenous malformation, Degenerative scoliosis

  2. Ali Hassoun Turkmani, M.D.

    Ali Hassoun Turkmani, M.D.

    1. Neurosurgeon
    1. Phoenix, AZ
    Areas of focus:

    Spinal fusion, Brain stereotactic radiosurgery, Carotid angioplasty and stenting, Brain tumor surgery, Spinal cord stim...ulator insertion, Carotid angiogram, Embolization therapy, Brain aneurysm surgery, Temporal lobectomy, Lumbar diskectomy, Spinal angiogram, Cerebral angiogram, Brain endoscopy, Minimally invasive neurosurgery, Microvascular surgery, Awake brain surgery, Minimally invasive spine surgery, Endovascular treatment, Endoscopic transnasal transsphenoidal surgery, Endoscopic skull base surgery, Brain mapping, Hydrocephalus, CSF leak, Epilepsy, Cerebrovascular disease, Trigeminal neuralgia, Glioma, Lumbar spinal stenosis, Stroke, Brain tumor, Dural arteriovenous fistula, Brain aneurysm, Herniated disk, Brain cancer, Lumbar radiculopathy, Brain lymphoma, Brain AVM, Astrocytoma, Carotid artery disease, Meningioma, Brain metastasis, Carotid artery dissection, Cervical herniated disk, Brain hemorrhage, Cavernous hemangioma, Low grade glioma of brain, Skull base tumor

  3. Stan Henkin, M.D.

    Stan Henkin, M.D.

    1. Cardiologist
    2. Vascular Medicine Specialist
    1. Rochester, MN
    Areas of focus:

    Anticoagulant therapy, Peripheral artery disease, Spontaneous coronary artery dissection, Renal artery stenosis, Raynau...d's disease, Aortic dissection, Aneurysm, Arterial embolism, Marfan syndrome, Pulmonary embolism, Ehlers-Danlos syndrome, Aortic aneurysm, Carotid artery disease, Loeys-Dietz syndrome, Thoracic aortic aneurysm, Abdominal aortic aneurysm, Venous thrombosis, Deep vein thrombosis, Carotid artery dissection, Fibromuscular dysplasia, Thrombophilia, Visceral artery aneurysm, Vasospastic disorders

  4. Courtney M. Hrdlicka, M.D.

    Courtney M. Hrdlicka, M.D.

    1. Neurologist
    2. Vascular Neurologist
    1. Phoenix, AZ
    Areas of focus:

    Transcranial Doppler test, Carotid ultrasound, Telestroke, Cerebrovascular disease, Stroke, Cerebral amyloid angiopathy..., Transient ischemic attack, Carotid artery disease, Ischemic stroke, Brain hemorrhage

  5. Josephine F. Huang, M.D.

    Josephine F. Huang, M.D.

    1. Neurologist
    1. Jacksonville, FL
    Areas of focus:

    Stroke prevention, Telestroke, Venous angioma, Arteriovenous malformation, Central nervous system vascular malformation...s, Venous malformation, Cavernous malformations, Antiphospholipid syndrome, Intracranial hematoma, Subarachnoid hemorrhage, Hereditary hemorrhagic telangiectasia, Moyamoya disease, Giant cell arteritis, Stroke, Cerebral microbleeds, Vertebral artery stenosis, Subdural hematoma, Dural arteriovenous fistula, Cerebral amyloid angiopathy, Subdural hemorrhage, Amaurosis fugax, Takayasu's arteritis, Vertebrobasilar insufficiency, Vertebral artery dissection, Vertebral artery blockage, CADASIL, Brain aneurysm, Intracranial hemorrhage, Binswanger's disease, Small vessel white matter disease, Transient ischemic attack, Brain AVM, Intracranial venous malformation, Carotid artery disease, Vascular dementia, Ischemic stroke, Arteritis, Venous thrombosis, Vascular malformation, Intracerebral hemorrhage, Brain hemorrhage, Spinal arteriovenous malformation, Basilar artery stenosis, Carotid bruit, Basilar dissection, Carotid dissection, Central nervous system arteritis

  6. Thien Huynh, M.D.

    Thien Huynh, M.D.

    1. Radiologist
    1. Jacksonville, FL
    Areas of focus:

    Spine procedure, Carotid angioplasty and stenting, Intracranial stenting, Vertebroplasty, Epidural blood patch, Nerve b...lock, Epidural steroid injection, Spinal angiogram, Kyphoplasty, Cerebral angiogram, Petrosal sinus sampling, Endovascular treatment, Arteriovenous malformation, Arteriovenous fistula, CSF leak, Stroke, Vertebral artery stenosis, Dural arteriovenous fistula, Brain aneurysm, Brain AVM, Carotid artery disease, Spinal arteriovenous malformation, Compression fracture

  7. Chris R. Jacobs, M.D.

    Chris R. Jacobs, M.D.

    1. Vascular Surgeon
    1. Jacksonville, FL
    Areas of focus:

    Carotid artery aneurysm repair, Carotid endarterectomy, Thoracic endovascular aneurysm repair , Mesenteric artery bypas...s, Thoracic aortic aneurysm surgery, Aneurysm surgery, Endovascular aneurysm repair, Endovascular reconstruction, Peripheral artery disease, Thoracic outlet syndrome, Renal artery stenosis, Aortic dissection, Cerebrovascular disease, Arterial embolism, Carotid artery disease, Thoracic aortic aneurysm, Abdominal aortic aneurysm, Carotid body tumor, Hemodialysis vascular access dysfunction

  8. Manju Kalra, M.B.B.S.

    Manju Kalra, M.B.B.S.

    1. General Surgeon
    2. Vascular Surgeon
    1. Rochester, MN
    Areas of focus:

    Carotid angioplasty and stenting, Arteriovenous malformation surgery, Carotid endarterectomy, Angiogram, Thoracoabdomin...al aneurysm surgery, Mesenteric artery bypass, Aortic aneurysm repair, Thoracic aortic aneurysm surgery, Femoral endarterectomy, Arteriovenous fistula surgery, Thrombectomy, Thrombolysis, Fistulogram, Aneurysm surgery, Varicose vein ablation, Arteriosclerosis/atherosclerosis, Peripheral artery disease, Mesenteric ischemia, Thoracic outlet syndrome, Arteriovenous malformation, Arteriovenous fistula, Venous malformation, Renal artery stenosis, Lymphedema, Varicose vein, Aortic dissection, Cerebrovascular disease, Aneurysm, Marfan syndrome, Claudication, Takayasu's arteritis, Median arcuate ligament syndrome, Aortic aneurysm, Renal artery aneurysm, Carotid artery disease, Arterial aneurysm, Thoracic aortic aneurysm, Aortic disorder, Abdominal aortic aneurysm, Critical limb ischemia, Carotid body tumor, Vascular graft infection, Thoracoabdominal aortic aneurysm, Aortic ulcer, Aortoiliac disease, Venous thrombosis, Deep vein thrombosis, Carotid artery dissection, Fibromuscular dysplasia, Venous insufficiency, Popliteal aneurysm, Vascular malformation, Popliteal artery entrapment syndrome, Venous aneurysm, Vascular anomaly, Venous disorder, Nutcracker syndrome

  9. Zafer Keser, M.D.

    Zafer Keser, M.D.

    1. Vascular Neurologist
    1. Rochester, MN
    Areas of focus:

    Stroke, Vertebral artery dissection, Carotid artery disease, Carotid artery dissection

  10. James P. Klaas, M.D.

    James P. Klaas, M.D.

    1. Neurologist
    1. Rochester, MN
    Areas of focus:

    Central nervous system vascular malformations, Cerebrovascular disease, Subarachnoid hemorrhage, Moyamoya disease, Stro...ke, Cerebral amyloid angiopathy, Brain aneurysm, Carotid artery disease, Ischemic stroke, CNS vasculitis, Intracerebral hemorrhage

Research

Mayo Clinic researchers are working to improve the diagnosis and treatment of carotid artery disease. Efforts include evaluating treatment options for carotid artery disease that has no symptoms and surgical ways of treating carotid artery disease that has symptoms. Researchers also look at which techniques offer the best outcomes in light of advances in medical therapy and surgical techniques.

Mayo researchers were involved in the multicenter Carotid Revascularization Endarterectomy versus Stenting Trial (CREST), which defined treatment protocols and compared outcomes of the two procedures.

Mayo Clinic is now the clinical coordinating center for the ongoing CREST2 trial, which is designed to compare three different methods of stroke prevention to find the safest and most effective treatment for patients with narrowing of their carotid arteries. Related work assessing CREST data yields insights into the effectiveness of patching during endarterectomy procedures.

CREST Trial

Vivien Williams: Carotid artery disease increases your risk of stroke. Plaque builds up in the arteries in the neck, and if some breaks away, it could travel to your brain and cut off blood flow. But results of a study published in the New England Journal of Medicine give doctors the information they need to choose the best preventive procedures for their patients.

It's called the CREST Trial — Carotid Revascularization Endarterectomy versus Stent Trial. What that means is researchers tested open surgery versus stenting of the carotid artery to see which procedure was best at opening blockages and preventing stroke. Findings show that open surgery and stenting are equally safe and effective at preventing stroke, except for people over the age of 80.

Albert Hakaim, M.D.—Mayo Clinic vascular surgery: Based on the CREST Trial for patients who are older and the majority of vascular patients are older, carotid endarterectomy is superior to stentings.

Vivien Williams: Dr. Albert Hakaim says, people over 80 who have stents placed to open blockages in their carotid arteries have a higher risk of stroke after treatment than those who had the open operation. But if you're younger, both procedures are equally beneficial.

You see, blockages happen after years of plaque buildup on the artery walls. If a piece breaks off, it could flow to the brain and cut off blood supply, causing stroke. Here's a comparison of the two procedures.

First, the standard operation. With the patient under general anesthesia, Dr. Hakaim makes an incision in the neck to expose the carotid artery which carries blood to the face and brain. Then he inserts a temporary shunt to reroute blood so they can work on the artery. Next, he opens the artery lengthwise, removes plaque, and closes the incision.

Stenting is less invasive. With the patient having local anesthesia, Dr. Hakaim advances a catheter through the femoral artery in the leg up to the blockage. Just above it, he places a tiny umbrella shaped device to make sure that if the pieces of plaque break off they don't flow to the brain. Then he deploys the stent, which is pushed into place by a balloon. The stent opens the artery and crushes the plaque against the artery wall.

Albert Hakaim, M.D.: So here's the common carotid artery. And this is where the artery branches, so this branch goes to the face. This was the narrowing. This is the stent before the angioplasty.

Vivien Williams: Two procedures, both safe and effective at preventing stroke in the right groups of patients. The CREST Trial is important, because stroke is the third leading cause of death in the U.S. and the number one cause of disability. Now doctors can be more certain that the procedures they do for their patients will reduce the risk of stroke. For Medical Edge, I'm Vivien Williams.

Mayo clinicians also are working to advance ultrasound evaluation of carotid plaque characteristics, to better identify plaques with higher stroke risk based on sonography.

Publications

See a list of publications on carotid artery disease by Mayo Clinic doctors on PubMed, a service of the National Library of Medicine.

By Mayo Clinic Staff

Carotid artery disease care at Mayo Clinic

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Diagnosis & treatmentCare at Mayo Clinic
April 19, 2023
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Carotid artery disease

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Joseph Sirven, M.D., Professor of Neurology, Mayo Clinic: Mayo's mission is about the patient. The patient comes first. So the mission and research here is to advance how we can best help the patient, how to make sure the patient comes first in care. So in many ways, it's a cycle. It can start with as simple as an idea worked on in a laboratory, brought to the patient bedside, and if everything goes right — and let's say it's helpful or beneficial — then brought on as a standard approach. And I think that is one of the unique characteristics of Mayo's approach to research — that patient-centeredness — that really helps to put it in its own spotlight.