Carotid Artery Stenosis
Occasionally, plaque can build up in the arteries of one’s neck, typically the largest artery going to the brain – the carotid artery. There are two ways to surgically treat this build up once it reaches a certain level of stenosis, or blockage. Mount Sinai’s Cerebrovascular Center performs both such treatments.
Treatment Options for Carotid Artery Stenosis
One treatment is called a carotid endarterectomy. This is a procedure when a small incision is made in a skin crease in the neck (minimizing any subsequent scar) and the artery is opened up and cleaned out and then sewn closed again. The other is an alternative procedure, called carotid artery stenting. Carotid artery stenting is similar to the use of coronary stents in treating cardiovascular disease.
After identifying the narrowed artery during an angiogram, your physician will enlarge the narrowed section with wire-mesh stents and high-pressure balloons to open the narrowed vessel segment. This will improve blood flow to the brain and reduce the possibility of future strokes. Most patients stay overnight for observation and go home in the morning.
Advantages of carotid artery stenting over traditional, open procedures include:
- No need for general anesthesia
- Shorter procedure time
- No surgical incision
- Shorter hospital stay
- No risk of cranial nerve damage
Klingenstein Clinical Center, 1-North
1450 Madison Avenue
New York, NY 10029