Carotid Artery Disease

About Carotid Artery Disease

Carotid artery disease occurs when the major arteries in your neck become narrowed or blocked. These arteries, called the carotid arteries, supply your brain with blood. Carotid arteries extend from the aorta to the brain.  Generally, carotid disease develops over time. It is most likely to be diagnosed in the elderly population, but can occur in adults in their 40s and 50s. 
 
Your arteries are normally smooth and unobstructed on the inside, but as you age, plaque can build up in the walls of your arteries. Plaque is made up of cholesterol, calcium, and fibrous tissue. As more plaque builds up, your arteries narrow and stiffen. This process is called atherosclerosis, or hardening of the arteries. Carotid artery disease is a serious health problem because it can cause a stroke.

Some plaque deposits are soft and are prone to cracking or forming roughened, irregular areas inside the artery. If this happens, your body will respond as if you were injured and flood the cracked and irregular areas with blood-clotting cells called platelets. A large blood clot may then form in your carotid artery or one of its branches. If the clot blocks the artery enough to slow or stop blood and oxygen flow to your brain, it could cause a stroke. More commonly, a piece of the plaque itself, or a clot, breaks off from the plaque deposit and travels through your bloodstream. This particle can then lodge in a smaller artery in your brain and cause a stroke by blocking the artery.

Carotid artery disease may not cause symptoms in its early stages. Unfortunately, the first sign of carotid artery disease could be a stroke. However, you may experience warning symptoms of a stroke called transient ischemic attacks, or TIAs. Symptoms of a TIA is often marked by a feeling of weakness on one side of your body, typically in an arm or leg, an inability to move your arm or leg and the inability to speak clearly. Occasionally, patients may also begin losing vision in one eye.  These symptoms usually go away completely within 24 hours. However, you should not ignore them. Having a TIA means that you are at serious risk of a stroke in the near future. You should report TIA symptoms to your physician immediately.

If you experience any of the above symptoms for longer than a few hours, or they don't resolve within 24 hours, a stroke has probably occurred. You should contact your physician immediately.

Atherosclerosis, or hardening of the arteries, causes most cases of carotid artery disease. Risk Factors include smoking, high cholesterol, and high blood pressure.

In rare cases, other conditions known as carotid aneurysm disease and fibromuscular dysplasia can also cause carotid artery disease. Other factors that may increase your chances of developing carotid artery disease include diabetes and having a family history of hardening of the arteries.

Fortunately, you may be able to prevent or slow carotid artery disease. Quitting smoking is the most important change you can make to avoid this disease. Other ways to prevent carotid artery disease include eating a healthy diet and maintaining a healthy weight, exercising regularly and controlling your diabetes if you have it.

For more information about Carotid Artery Disease, or to schedule an appointment, please call (916) 783-8114 (in Roseville) or (916) 925-9526 (in Sacramento)

Contact NCTVI

Northern California Thoracic and Vascular Institute Clinic

5 Medical Plaza, Suite 140
Roseville, CA 95661

Phone (916) 783-8114

Fax (916) 783-8166

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Interventional Neuroradiology Clinic

2801 K Street, Suite 240
Sacramento, CA 95816

Phone (916) 925-9526

Fax (916) 925-9515

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Our Specialists

Larry Cardoza, M.D.

Vascular Surgeon

Dr. Larry J. Cardoza is a board certified Thoracic and Cardiovascular Surgeon with more than 30 years of experience. A native of Sacramento, Dr. Cardoza earned his Doctor of Medicine degree from the University of California, San Francisco in 1966. After completing his internship at San Francisco General Hospital he served for three years as a US Air Force Flight Surgeon. He then completed a residency in General Surgery at Highland General Hospital in Oakland, California and went on to complete a residency in Thoracic and Cardiovascular Surgery at the University of Wisconsin, Madison. After practicing in Salinas, California, Dr. Cardoza moved back to Sacramento and has been in practice here for 20 years. He joined RAS in 2008 with a vision to provide quality integrated Thoracic and Vascular Surgery services through one entity - the RAS Northern California Thoracic and Vascular Institute. In his free time, Dr. Cardoza enjoys golfing and travel.