Carotid Stenosis Flashcards
1
Q
Causes
A
Atherosclerosis
2
Q
Common site
A
The bifurcation of the common carotid arteries
3
Q
Clinical Presentation
A
Amaurosis fugax (transient visual loss)
TIAs
Cerebral infarction
4
Q
Investigations
A
Bloods - FBE, UEC, Lipids, aPTT
Imaging - carotid duplex, CT/MRI head
5
Q
Management - asymptomatic
A
Aggressive medical management - antiplatelet therapy, antihypertensive therapy and cholesterol lowering
Carotid endartectomy is considered only patients with stenosis >80%
6
Q
Management - symptomatic
A
Carotid endartectomy
Percutaneous transluminal cerebrovascular angioplasty and stenting can be considered, but is less effective
