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General Medicine

Carotid Stenosis

Rade N. Pejic, M.D. Reviewed 04/2024
 


BASICS

Carotid stenosis may be caused by atherosclerosis, intimal fibroplasia, vasculitis, adventitial cysts, or vascular tumors. However, atherosclerosis is the most common etiology. 

DESCRIPTION

  • Narro...

DIAGNOSIS

Screening for carotid stenosis is not recommended for asymptomatic low-risk patients (1). However, screening should be considered for asymptomatic high-risk patients and in the setting of s...

TREATMENT

Therapeutic lifestyle modifications, smoking cessation, BP control, glycemic control, statins, and antiplatelet medications are the primary treatments for both asymptomatic and symptomatic c...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Duplex at 2 to 6 weeks postoperatively

  • Duplex every 6 to 12 months

  • Reoperative CEA or CAS is reasonable, if there is rapidly progressive restenosi...

REFERENCES

1
US Preventive Services Task Force. Screening for Asymptomatic Carotid Artery Stenosis: US Preventive Services Task Force Recommendation Statement. JAMA. 2021;325(5):476–481. doi:10.1001/ja...

SEE ALSO

Algorithms: Stroke; Transient Ischemic Attack and Transient Neurologic Defects 

CODES

ICD10

  • I65.29 Occlusion and stenosis of unspecified carotid artery

  • I65.21 Occlusion and stenosis of right carotid artery

  • I65.22 Occlusion and stenosis of left carotid artery

  • I65.23 Occlusion and sten...

CLINICAL PEARLS

  • Atherosclerosis is responsible for 90% of all cases of carotid artery stenosis.

  • Duplex US is the best initial imaging modality.

  • Antiplatelet therapy and aggressive treatment of vascular ...

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Related Images
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<bold>FIGURE 10-23. Xanthomas in familial hypercholesterolemia.</bold><bold>A.</bold> Dorsum of hand. <bold>B.</bold> Arcus lipoides represents the deposition of lipids in the peripheral cornea. <bold>C.</bold> Extensor surface of elbow. <bold>D.</bold> Knees

 

<bold>FIGURE 10-23. Xanthomas in familial hypercholesterolemia.</bold><bold>A.</bold> Dorsum of hand. <bold>...

Xanthomas in familial hypercholesterolemia. Arcus lipoides represents the deposition of lipids in the peripheral cornea.

 

Xanthomas in familial hypercholesterolemia. Arcus lipoides represents the deposition of lipids in the peripheral cornea.

 
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