What it is
Plaque buildup (atherosclerosis) narrows the carotid arteries. The danger isn't only the narrowing — fragments of plaque or clot can break off and travel to the brain, causing a transient ischemic attack (TIA) or stroke. Many people have no symptoms until that happens, which is why screening matters for those at risk.
Why it matters
Risk Factors
A TIA — sudden, temporary weakness, numbness, slurred speech, or vision loss — is a major warning sign. Sudden stroke symptoms are an emergency: call 911. Risk factors include smoking, high blood pressure, high cholesterol, diabetes, older age, and atherosclerosis in the heart or legs.
Diagnostic Testing
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In-house carotid duplex ultrasound — the screening test
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Carotid angiography — a detailed, definitive picture when a narrowing must be precisely characterized (see the procedure)
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CTA or MRA when additional imaging is needed
Treatment Options
Medical therapy
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The foundation for most carotid disease, especially without symptoms:
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A statin and antiplatelet medication
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Blood-pressure and diabetes control
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Quitting tobacco
Invasive evaluation and treatment
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Carotid angiography to define a significant narrowing
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When revascularization is indicated, we discuss the options — surgical endarterectomy or carotid stenting — and coordinate your care
Frequently asked questions
For referring providers — We welcome referrals for carotid evaluation, including indeterminate ultrasound findings and TIA workup. Refer: (918) 943-5303 · fax (855) 312-3594.
Refer urgently: TIA, amaurosis fugax, or acute neurologic symptoms — urgent evaluation or ED · Routinely: an asymptomatic bruit, known stenosis for surveillance, or an indeterminate ultrasound. Full referral guide →