Stroke Prevention: Carotid Artery Disease
Stroke remains a leading cause of preventable death. One of the major risk factors is plaque build-up and narrowing of the four main blood vessels found in the neck, the two carotid and two vertebral arteries. The carotid arteries provide the most important blood flow to the brain. Blockages in these arteries can result in visual impairment, arm or leg weakness or paralysis, and/or speech difficulties, all signs of a stroke or mini-stroke (also known as a transient ischemic attack). Screening for carotid artery disease may reduce complications associated with stroke. Disease in the vertebral arteries can lead to even more devastating strokes.
Endarterectomy
Endarterectomy is a surgical procedure removing plaque...
Enlarge Image
Treatment options have included medications or, in severe cases, surgical reconstruction of these arteries. The vascular surgeons in the Center for Vascular Disease have been actively involved in extracranial cerebrovascular reconstruction including carotid endarterectomy, the surgical removal of the plaque, for many years.
Carotid Artery Stent
Carotid Artery Stent
Enlarge Image
More recently, a minimally invasive approach, carotid artery stenting, has been shown to be beneficial in some patients with carotid artery disease. Carotid artery stenting is performed without general anesthesia and only requires an overnight stay in the hospital. The absence of a neck incision allows for quicker recovery and less pain.
The vascular surgeons in the Center for Vascular Disease have performed over 300 cases of carotid artery stenting, which has been approved by the FDA. Mark Eskandari, MD currently serves as the site principal investigator for the only NIH-sponsored carotid stenting trial (CREST) as well as three other carotid stenting clinical trials. The Center for Vascular Disease is also one of only a few regional centers designed to train physicians in this technology.
Dr. Eskandari is the Director of Carotid and Peripheral Artery Interventions. Jon Matsumura, MD, Mark Morasch, MD and Melina Kibbe, MD have also been instrumental in developing a solid and reputable carotid stenting program at Northwestern Memorial.
Dr. Mark Alberts, Director of the Stroke Program at Northwestern Memorial, is leading the efforts to understand the best treatment for acute stroke.
Contact
For more information regarding
stroke prevention or to obtain a consultation through the Center for
Vascular Disease call the Bluhm Cardiovascular Institute at (866) 662-8467, or request an appointment online.



