The carotid arteries carry oxygen-rich blood to the brain. When these vessels narrow due to plaque buildup, blood flow drops and stroke risk rises. Carotid artery disease management means detecting this narrowing early and treating it to keep blood flowing. In Dubai, our vascular surgeons combine preventive care, medications, and advanced procedures to address blood flow issues and protect brain health.
Many patients have no warning signs until a transient ischemic attack (TIA) or stroke occurs. That’s why regular screening (for example, carotid ultrasound) and controlling risk factors — such as high blood pressure, cholesterol, diabetes, and smoking — are essential. By catching blockages early and managing your health, we help prevent strokes before they happen.
Symptoms
Carotid artery disease often causes no symptoms until it is severe. Many patients learn they have narrowing after a routine exam or following a TIA. Important warning signs (stroke symptoms) include:
Sudden weakness or numbness in the face, arm, or leg on one side.
Difficulty speaking or understanding others.
Vision problems, such as sudden loss of vision or double vision (sometimes a “curtain” coming down over one eye).
Dizziness, loss of balance, or coordination.
Sudden severe headache with no known cause.
If you experience any of these, seek emergency medical care immediately. Even brief symptoms should be evaluated to prevent a major stroke.
Diagnosis
Diagnosing carotid artery disease begins with a medical history and physical exam. A doctor will listen to the neck arteries for a bruit (a whooshing sound) that may indicate turbulent blood flow. Key diagnostic tests include:
Carotid Doppler Ultrasound: A painless test using sound waves to visualize plaque and measure blood flow in the carotid arteries.
CT Angiography (CTA): A specialized CT scan with contrast dye to get detailed images of the neck arteries.
MR Angiography (MRA): An MRI technique that maps blood vessels without X-ray radiation.
We also check cholesterol, blood sugar, and other factors that contribute to atherosclerosis. In our Dubai clinic, we use high-resolution imaging and expert analysis to identify carotid blockages quickly. Early diagnosis lets us choose the best approach to improve blood flow and reduce stroke risk.
Treatment Options
Treatment focuses on reducing stroke risk by restoring healthy blood flow. We start with conservative measures:
Lifestyle changes: A diet rich in fruits, vegetables, whole grains and lean proteins (limiting saturated fats, salt, and sugar). Regular exercise (such as 30 minutes of walking most days), weight management, and quitting smoking all improve vascular health.
Medications: Antiplatelet drugs (like aspirin or clopidogrel) to prevent clots, statins to lower cholesterol, and medicines to control blood pressure and diabetes.
Monitoring: Mild to moderate narrowing may be monitored with periodic carotid ultrasounds and checkups, adjusting treatment as needed.
For significant blockages, we use advanced procedures as mentioned next.
Carotid Endarterectomy
Carotid endarterectomy is surgery to remove plaque from the artery. It’s recommended for patients with severe narrowing (typically >70%) or after a TIA/stroke. The surgeon makes a small incision in the neck, opens the carotid artery, and removes the fatty deposits. The artery is then closed with fine sutures. This surgery greatly lowers the risk of stroke. Patients usually stay in the hospital 1–2 days and return to most activities within a few weeks. Our vascular surgeons perform this operation with advanced techniques and monitoring to maximize safety and success.
Carotid Artery Stenting
Carotid artery stenting is a minimally invasive alternative, ideal for patients who may not tolerate open surgery. A small catheter is inserted (usually through an artery in the groin) and guided to the blocked carotid artery. A tiny balloon is inflated to open the blockage, and a metal mesh stent is placed to hold the artery open. After stenting, patients often stay in the hospital only 1 day and recover faster than with surgery. Blood-thinning medications (antiplatelets) are prescribed for a period afterward to keep the artery open. Our Dubai vascular specialists use cutting-edge imaging and protection devices during stenting to minimize stroke risk.
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Frequently Asked Questions (FAQs)
What lifestyle changes can help manage carotid artery disease?
A heart-healthy lifestyle is key. Eat plenty of vegetables, fruits, and whole grains while limiting salt, sugar, and unhealthy fats. Exercise regularly (such as 30 minutes of walking most days) to control blood pressure and weight. Quit smoking — it sharply lowers stroke risk. Also, follow your doctor’s advice and take prescribed medications for cholesterol, blood pressure, and diabetes.
What are the risks of carotid endarterectomy or stenting?
Both procedures carry a small risk of complications. Endarterectomy risks include bleeding, infection, nerve injury in the neck, or a very small chance of stroke during surgery. Stenting carries a slight risk of stroke during the procedure or re-narrowing of the artery (restenosis). In our Dubai center, experienced specialists use advanced techniques (such as protective filters during stenting) to minimize these risks.
How long is the recovery after treatment?
Recovery depends on the procedure. After endarterectomy, patients usually stay in the hospital 1–2 days. Most people return to light activities within 1–2 weeks and resume all normal activities in a few weeks. After stenting, hospital stay is often just 1 day and most patients feel back to normal within about a week. In both cases, you will continue medications and follow-up care to keep the artery open.
Can carotid artery disease be cured?
Carotid artery disease is a chronic condition related to atherosclerosis. It cannot be “cured” completely, but it can be effectively managed. Treatments (lifestyle, medication, surgery/stenting) can remove or bypass dangerous blockages and greatly reduce stroke risk. Ongoing care — healthy habits and risk factor control — is essential. Many patients lead healthy lives after treatment, and our team will guide you in keeping your carotid arteries as clear as possible.