Atherosclerotic Disease of the Carotid Artery Clinical Presentation

Updated: Feb 21, 2019
  • Author: Jake F Hemingway, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
  • Print
Presentation

History

Atherosclerotic disease of the carotid artery may be associated with the following:

  • Amaurosis fugax (transient ipsilateral visual loss)
  • Transient ischemic attacks (TIAs)
  • Crescendo TIAs
  • Stroke-in-evolution
  • Cerebral infarction
Next:

Physical Examination

Atherosclerosis of the carotid artery can be associated with a carotid bruit heard on auscultation.

Previous
Next:

Complications

Complications of carotid endarterectomy (CEA) and carotid artery stenting (CAS) include the following:

  • Cardiac ischemia
  • Cranial nerve injury (CNI)
  • Hematoma with or without airway compromise
  • Hypertension and hypotension
  • Perioperative stroke
  • Recurrent stenosis
Previous
Next:

Screening

In the absence of symptoms, screening is warranted for patients aged 65 years or older who have one or more of the following:

  • Coronary artery disease (CAD)
  • History of smoking
  • Hypercholesterolemia 

Screening is warranted for all patients with carotid-territory ischemic symptoms.

Previous