Carotid artery disease is a potential risk for ischemic stroke. Angioplasty and stenting of the carotid artery can decrease the risk of stroke.
The management options to decrease the chance of stroke in someone with carotid artery disease, includes:
- Medical management with antiplatelet agents (ie. aspirin) and lipid lowering medications (statins)
- Balloon angioplasty and stenting
- Carotid endarterectomy (surgery)
The optimal treatment depends on the age of the patient, accompanying symptoms, comorbidities (medical history), and findings on imaging tests (carotid ultrasound, CTA, MRI/A, femoral cerebral angiogram).
Regardless of the treatment to fix the carotid artery, ischemic stroke preventive measures include treatment for hypertension, diabetes and high cholesterol, smoking cessation, and physical activity.