carotid disease

Question 1

how does carotid artery disease cause strokes

Answer 1

embolic

Question 2

what makes a carotid plaque high risk

Answer 2

symptomatic ones!

Question 3

how do you treat a carotid artery plaque?

Answer 3

you operate

Question 4

if a stroke is ischemic what can it be due to

Answer 4

embolism - carotid or A fib

Thrombotic

Question 5

most of the time an embolus will endup where in the brain?

Answer 5

MCA

Question 6

you do not talk about claudication in the brain!!

Answer 6

Not a low flow problem

Question 7

TIAs are

Answer 7

NOT claudication they are infarcts!!!!

- claudication happens in muscles

Question 8

Carotid strokes are

Answer 8

EMBOLIC

Question 9

carotid plaques are either

Answer 9

symptomatic or asymptomatic

Question 10

Symptomatic stroke

Answer 10

high likelihood of causing another stroke

Question 11

weakness or numbness in contralateral leg or arm or leg and arm or amaurosis fugax - ipsilateral

Answer 11

Symptomatic carotid stenosis

- carotid

Question 12

conventional angio has a risk of

Answer 12

stroke 1%

Question 13

CTA vs MRA

Answer 13

MR details of brain, CTA limited brain info

Question 14

medical MX of stroke due to carotid disease

Answer 14

• statin

- anti platelet

Question 15

stroke rate in stenting vs endarcterectomy

Answer 15

• 10% vs 3-5%

Question 16

TX for Symptomatic carotid a. stenosis

Answer 16

NOT controversial

Question 17

Amarosis Fugax happens

Answer 17

ipsilateral to stenosis

Question 18

Need to have how much stenosis for treatment

Answer 18

operate over 50%

less than 50% medical mx

Question 19

For asymptomatic carotid stenosis need

Answer 19

60% stenosis before treatment

Question 20

if artery is completely occluded

Answer 20

do not operate they can embolize

Question 21

subclavial steal syndrome can happen in

Answer 21

R in a R handed patient