Carotid Artery Disease

Carotid artery disease is a leading cause of stroke. Dr. Medani provides comprehensive carotid assessment using duplex ultrasound and offers carotid endarterectomy — the gold standard surgical treatment for significant carotid stenosis.

Symptoms to Watch For

  • Often has no symptoms until a stroke or TIA (mini-stroke) occurs
  • Sudden numbness or weakness in the face, arm, or leg (especially one side)
  • Sudden difficulty speaking or understanding speech
  • Sudden vision problems in one or both eyes
  • Sudden severe headache with no known cause
  • Dizziness or loss of balance
  • A bruit (whooshing sound) heard over the carotid artery during examination

How Dr. Medani Treats This

1

Carotid Endarterectomy (CEA) — The gold standard surgical treatment. An incision is made in the neck, and the fatty plaque is carefully removed from the carotid artery, restoring normal blood flow to the brain. Dr. Medani has extensive experience in this procedure.

2

Medical Management — For patients with mild stenosis, treatment involves antiplatelet medications (aspirin/clopidogrel), statins, blood pressure control, and lifestyle modifications.

3

Carotid Artery Stenting — In selected cases, a stent may be placed inside the carotid artery to keep it open. This is typically reserved for patients who are high-risk for surgery.

4

Risk Factor Management — Addressing smoking, diabetes, high cholesterol, and high blood pressure to prevent disease progression.

What to Expect

Assessment

Dr. Medani will perform a duplex ultrasound of the carotid arteries. If significant narrowing is found, a CT angiogram may be ordered for detailed imaging.

Before Surgery

Pre-operative evaluation includes cardiac assessment and blood tests. You will be advised about medication adjustments.

The Procedure

Carotid endarterectomy typically takes 1-2 hours under general or local anaesthesia. You will be monitored closely throughout.

Recovery

Most patients stay in hospital for 1-2 days. Recovery at home takes 1-2 weeks before returning to normal activities. The risk of stroke is significantly reduced after successful surgery.

Frequently Asked Questions

What is carotid artery disease?
Carotid artery disease occurs when fatty deposits (plaque) build up in the carotid arteries — the main blood vessels supplying the brain. This narrowing (stenosis) can restrict blood flow and increase the risk of stroke.
How is carotid disease diagnosed?
The initial screening test is a duplex ultrasound scan of the neck. This painless, non-invasive test can detect narrowing of the carotid arteries. If significant disease is found, a CT angiogram provides more detailed images.
When is surgery recommended?
Surgery is typically recommended when the carotid artery is narrowed by more than 70%, or by more than 50% if you have had symptoms (TIA or stroke). Dr. Medani will discuss the risks and benefits specific to your situation.
What is a TIA?
A transient ischaemic attack (TIA) or "mini-stroke" causes temporary stroke-like symptoms that resolve within 24 hours. A TIA is a serious warning sign — it means you are at high risk of a full stroke and should be evaluated urgently.

Book a Consultation for Carotid Disease

Schedule a consultation with Dr. Medani to discuss your condition and learn about the treatment options available to you.

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