Carotid Artery Disease and Stroke: Prevention and Treatment | Q&A

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  • čas přidán 13. 06. 2024
  • Professor of Surgery Bruce Perler discusses causes, symptoms, risk factors and treatment of carotid artery disease and stroke.
  • Věda a technologie

Komentáře • 134

  • @hpman2391
    @hpman2391 Před rokem +7

    Just got my left side done after mini stoke TIA, was scared but it was a pice of cake. Out for two hrs. This was on 11/16/22 home the next day. Now in a month I get the right one done. Thanks for your precise communication 👏

  • @georgeannekaufman4867
    @georgeannekaufman4867 Před 5 lety +31

    This is priceless, clearly presented information. This doctor is A+ at explaining this. Many thanks.

    • @trieucao2328
      @trieucao2328 Před 4 lety

      This is just superb, I been tryin to find out about "hardening of the arteries causes" for a while now, and I think this has helped. Have you ever come across - Venharlotte Renenry Scheme - (Have a quick look on google cant remember the place now ) ? Ive heard some super things about it and my friend got excellent success with it.

    • @agiewily3199
      @agiewily3199 Před 4 lety

      Many thanks, been searching for "blood pressure in arteries" for a while now, and I think this has helped. You ever tried - Venharlotte Renenry Scheme - (do a search on google ) ? Ive heard some interesting things about it and my mate got great success with it.

    • @guineapigshavetakenovermyl6602
      @guineapigshavetakenovermyl6602 Před rokem

      totally agree. my dad is getting endarectomy soon.

    • @EkaDompu-zv8sk
      @EkaDompu-zv8sk Před 9 měsíci

      How about your father ?

  • @ilianadiaz8039
    @ilianadiaz8039 Před 2 lety +2

    Thank you for your dedication, and the Missions of John Hopkins caring about “patients as people”.

  • @henryzhang9915
    @henryzhang9915 Před 2 lety +1

    Exactly what I need to hear, many thx doc.

  • @chefsheila11
    @chefsheila11 Před 10 měsíci +1

    Very good explaination of what a corotid artery is thank you.

  • @nancygonzalez-qy9yz
    @nancygonzalez-qy9yz Před 5 lety +16

    Thank you sir, I have to have the carotid duplex done in two weeks and you just put my mind at ease.

    • @AlexisAriasX
      @AlexisAriasX Před 4 lety +3

      I hope your surgery went well, sending you love

    • @sergeydzema5569
      @sergeydzema5569 Před 4 lety +1

      Many thanks, I've been looking for "hardening veins and arteries" for a while now, and I think this has helped. You ever tried - Venharlotte Renenry Scheme - (Have a quick look on google cant remember the place now ) ? Ive heard some awesome things about it and my mate got excellent results with it.

    • @tatyanadavydenko2739
      @tatyanadavydenko2739 Před 4 lety

      Winner of a video, I been tryin to find out about "can we remove plaque in your arteries" for a while now, and I think this has helped. You ever tried - Venharlotte Renenry Scheme - (do a google search ) ? Ive heard some interesting things about it and my mate got cool results with it.

    • @tonylars4128
      @tonylars4128 Před 4 lety

      Just wonderful, been searching for "alcohol cleans arteries" for a while now, and I think this has helped. Ever heard of - Venharlotte Renenry Scheme - (just google it ) ? Ive heard some super things about it and my brother in law got great results with it.

    • @jkings6602
      @jkings6602 Před 4 lety

      Many thanks, I've been looking for "what is hardening of the arteries in the brain" for a while now, and I think this has helped. Have you ever come across - Venharlotte Renenry Scheme - (Have a quick look on google cant remember the place now ) ? Ive heard some great things about it and my mate got cool success with it.

  • @inthewoodshed9611
    @inthewoodshed9611 Před měsícem

    What a wonderful and inspiring doctor! Thank you - I am high risk for stroke.

  • @miss.phyllisreneefoster9547

    THANK YOU DOCTOR I BELEAVE I MAY HAVE THIS

  • @jerseytony1
    @jerseytony1 Před 4 lety +6

    THANK YOU. All doctors should be like you!!

    • @digiwhite6470
      @digiwhite6470 Před 4 lety

      This was great, thanks, been searching for "can we remove plaque in your arteries" for a while now, and I think this has helped. Have you heard people talk about - Venharlotte Renenry Scheme - (just google it ) ? Ive heard some super things about it and my co-worker got cool success with it.

  • @Diamondtree31
    @Diamondtree31 Před 11 lety +6

    Thx 4 this video. Greatings from Argentina.

    • @AntonioGonzalez-cu5lt
      @AntonioGonzalez-cu5lt Před 4 lety

      Appreciate video content! Sorry for chiming in, I would love your opinion. Have you researched - Patlarny Bloods Victory Principle (search on google)? It is an awesome one of a kind product for preventing toxic blood and heart desease minus the normal expense. Ive heard some decent things about it and my friend at last got great results with it.

  • @jesseyang5959
    @jesseyang5959 Před 4 lety

    It's very good.

  • @norahbradley5138
    @norahbradley5138 Před 4 lety +3

    Thank you so much for explaining this so clearly

    • @alexabenitez7643
      @alexabenitez7643 Před 3 lety

      This is glorious, been searching for "best foods to reduce plaque in arteries" for a while now, and I think this has helped. Ever heard of - Nanarter Harloffe Smasher - (search on google )?
      It is a great one of a kind product for learning how to reduce your cholesterol level without the hard work. Ive heard some great things about it and my friend got amazing results with it.

  • @dottiedavis9522
    @dottiedavis9522 Před 7 lety +3

    I had bypass last year was told my veins were so small that they could only use one of them and a memory gland. Recovery is very difficult but results have been horrible 7 stents 3 heart attacks. The vein that was removed from my leg has collapsed over and over . What are my options? Are there artificial veined that can be grafted in a bypass.

    • @TheTurmericTrail
      @TheTurmericTrail Před 6 lety +4

      Please revert to plant based diet, please check Dr.Caldwell Esselstyn, and the movie Forks vs Knives. You can completely reverse your condition just by following whole foods based plant based diet.

  • @AudiophileTubes
    @AudiophileTubes Před 10 lety +2

    Incidentally, according to my 'carotid report graph', my 'right carotid ICA showed 0-10% stenosis consistent with no visualized plaque and PSV below 105 CM/S' and my 'left carotid ICA showed 20-39% stenosis consistent with visualized plaque and PSV below 105 CM/S'. Is this really bad?! Can this homogenous plaque rupture, or would it need to be more advanced/thicker? And how do I know if the plaque is stable? I wish Cardiologists took the time to explain to us, and allay (or confirm)our fears!

  • @ladycshumba2705
    @ladycshumba2705 Před měsícem

    Had MRI report Confirming a mengioma 37x35x21mm
    It is occluding the left internal Carotid but need Ct Angio to assess extent of occlusion.

  • @mrpoolplayer6379
    @mrpoolplayer6379 Před 8 měsíci +1

    My right & left side External Carotid arteries are bad, one is 100% occluded & the left is almost that bad. They have mentioned stroke...

  • @KenShiflett
    @KenShiflett Před měsícem +1

    How long can you be with a clogged carotid artery

  • @w8lftr
    @w8lftr Před 8 lety +5

    Just had a stroke 3 weeks ago from blocked artery, 80-90% Having surg in 2 days. Had ultrasound 4 years ago with nothing showing. In that time has increased dramatically. Vascular surgeon and cardiologist have listened and no swooshing sounds. I guess I have a a silent one. LIttle to no lasting effects from the stroke but this is scaring the hell out of me. I am sleeping more than being awake. Don't know if I will have another stoke before surg. I am just so tired all the time. I am afraid to fall asleep since not knowing If I will wake up again. Can't wait till this is over to try and lead a somewhat normal life again. Always exercised and watched my diet. I feel so weak and helpless now.

  • @AudiophileTubes
    @AudiophileTubes Před 10 lety +6

    I also plan to go down to 180 pounds by Spring next year.

    • @heynermesias439
      @heynermesias439 Před 3 lety

      Great Video! Forgive me for butting in, I would appreciate your initial thoughts. Have you heard about - Patlarny Bloods Victory Principle (Sure I saw it on Google)? It is a great one of a kind guide for preventing toxic blood and heart desease without the headache. Ive heard some great things about it and my BF after a lifetime of fighting got great results with it.

  • @samuelzemuy7629
    @samuelzemuy7629 Před 5 lety +1

    Dear all ...actually I can't speak English well I am from Africa any way my mother had problems like she can speak well she can't walk properly and I thought she is depressed but later one she made scan and doctor told her she have brain vessels left side block. I am worried. My question is if she make surgery is that possible she can be recover the same mother 2 years ago means she can speak properly and walk I am really depressed looking adivces

  • @rebeccakobeski9726
    @rebeccakobeski9726 Před 8 lety +1

    I just turned 40 years old, and I have been diagnosed with 2 dissected carotid artires. I stared getting headachs that would not go away and my doctor just treated them. I woke up one day and my head felf like a bowling ball, I could not get up to walk myself, my mom had to take me to the hostiptal where I was diagnosd with 2 dissections and a mini stoke in the back of my head. I still suffer from constant headachs and have speech impedements along with inbalance issuses. I also have been seen my many docters and finally been recommended to see a vascular surgan. I am schulded for a angio cathrization in a few weeks. I don't know what to expect and I am a little nervous.

    • @JohnsHopkinsMedicine
      @JohnsHopkinsMedicine  Před 8 lety +2

      +Rebecca Kobeski We're so sorry to hear about all you've been going through. You can learn a little more about the cardiac catheterization procedure in our health library here: ow.ly/XkzVn There are some additional resources at the bottom of the page that you may find helpful as well. Thank you for taking the time to share your experiences with us and we wish you nothing but the best.

    • @sherylsmiles141
      @sherylsmiles141 Před 7 lety

      Rebecca Kobeski - Good luck!!

    • @DrB_84
      @DrB_84 Před 7 lety

      Make sure they look into rare causes of an arterial dissection. Unless the previous ones you had were from a traumatic event bilateral arterial dissections are rare unless there is a genetic disorder involved.

    • @Fun_Food_travel_with_me
      @Fun_Food_travel_with_me Před rokem +1

      How are you know? How much percentage of block you had in carotid artery?

  • @KenShiflett
    @KenShiflett Před měsícem

    How long can you go with a carotid artery be in clogged

  • @ByGraceBeauty
    @ByGraceBeauty Před 7 lety +4

    My dad has 95 blockage in right and 70 on left. 85 yrs old but keep having mini strokes and symptoms. should be consider surgery?

    • @thiagovieira2177
      @thiagovieira2177 Před 6 lety

      remond japhet can you answer some doubts of me? please and thanks

    • @tiktokhotties8259
      @tiktokhotties8259 Před 3 lety

      Hello. How is your dad now? Godbless

    • @koobee3535
      @koobee3535 Před rokem

      Consider the Life Span (sorry), we need balance the risk of surgery and life span.

    • @EkaDompu-zv8sk
      @EkaDompu-zv8sk Před 9 měsíci

      How are your father ?

    • @ByGraceBeauty
      @ByGraceBeauty Před 9 měsíci +1

      @@EkaDompu-zv8sk My father has passed on .... from labor to reward. He lived to blessed to see 90 yrs.

  • @savgoulis2826
    @savgoulis2826 Před 7 lety +11

    At least this guy is straight up unlike our doctor

    • @daniuskaforest3597
      @daniuskaforest3597 Před 4 lety

      This was great, thanks, I have been researching "arteries" for a while now, and I think this has helped. You ever tried - Venharlotte Renenry Scheme - (do a search on google ) ? Ive heard some decent things about it and my friend got excellent success with it.

  • @michaelwitsen7514
    @michaelwitsen7514 Před 4 lety

    was told 80 % blockage by duplex and told would get e more accurate result from Cat scan angiogram. report only says diameter at maximal stenosis roughly 1.5mm, corresponding to a 80-90% stenosis by NASCENT criteria No occlusion. What do i do next ?
    if 80 % i think i would pass on the endarterectomy but at 90 percent i might risk the surgery. how do i get a better "estimate" is MRI better. Anyone ?

    • @JohnsHopkinsMedicine
      @JohnsHopkinsMedicine  Před 4 lety

      Hi Michael, we recommend speaking to your doctor about this. If you would like to get a second opinion at Johns Hopkins, please call 888-872-1408. Our specially trained medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins USA can also provide language interpretation, financial counseling, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.

  • @ladycshumba2705
    @ladycshumba2705 Před měsícem

    I have been having severe left eye dryness and persistent numbness to lower lip area hence i had the MRI, Need your advice Dr

    • @JohnsHopkinsMedicine
      @JohnsHopkinsMedicine  Před měsícem

      Hi, thank you for reaching out to us. We’re very sorry to hear about what you’re going through. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.
      If you would like to request an appointment at one of our hospitals, please call 888-872-1408. Our specially trained medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins USA can also provide language interpretation, financial counseling, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.

  • @christnadeopathakballgobin5839

    Iam a hard drunker, I think I suffer from carotid blockage for both sides of the neck aches and burns along with throat and chest pain, what should I do Doctor as either juice therapy or yogic exercises?

  • @jerryoram1371
    @jerryoram1371 Před 3 lety +1

    If angioplasty was done to your heart could their be issues with your neck as well. I had 70% blockage on Monday Dec 30 but seem lightheaded now .Speech issues have been going on for at least 5 months up to the survey.

    • @angqingkangdominic3314
      @angqingkangdominic3314 Před 2 lety

      Yes carotid artery disease is generally caused by the same things that cause heart disease eg smoking,high cholesterol,high blood pressure

  • @laurazarboni9647
    @laurazarboni9647 Před 3 lety

    did anyone check for Fibromuscular Dysplasa??

  • @gauravsharma6894
    @gauravsharma6894 Před 9 měsíci

    respect sir my father age 77 year or multiple disease like ulcerative colitis, Recrunt UTI, T2dm or carotid artery blockage right side 20% or left side 10% plz your opinions suggest me 1)- open surgery (2) stanting or medicine plz plz reply me

    • @JohnsHopkinsMedicine
      @JohnsHopkinsMedicine  Před 8 měsíci

      Hi, thank you for reaching out to us. We’re very sorry to hear about what you’re going through. Unfortunately, because each person’s medical situation is different, we are unable to provide treatment recommendations or second opinions via this form of communication.
      If you would like to request an appointment at one of our hospitals, please call 888-872-1408. Our specially trained medical concierges can arrange consultations or treatment plans with the most appropriate specialists. Johns Hopkins USA can also provide language interpretation, financial counseling, assistance with travel arrangements and anything else to help make Johns Hopkins feel as close to home as possible.

  • @waitandhope
    @waitandhope Před rokem

    Ohh interesting

  • @AudiophileTubes
    @AudiophileTubes Před 10 lety

    I am extremely scared, and can't get any sleep since my left carotid artery plaque diagnosis recently! I feel like this is a 'death sentence'! Any advice would be welcomed. I'm 52, 5' 8", and generally vigorous and healthy. Gained much weight over the last 8 years, going up to 231 in August. Since then, have lost 23 pounds, I eat healthy, etc. and my cholesterol numbers are better. Doc prescribed 5mg Crestor, but have not taken statin yet. Are statins necessary?

    • @rain999wi6
      @rain999wi6 Před 4 lety

      How are you now ?

    • @judithgerwarth3492
      @judithgerwarth3492 Před rokem +1

      Yes, please take it

    • @koobee3535
      @koobee3535 Před rokem

      Crestor is a statin

    • @EkaDompu-zv8sk
      @EkaDompu-zv8sk Před 9 měsíci

      How are you now

    • @AudiophileTubes
      @AudiophileTubes Před 9 měsíci

      @@EkaDompu-zv8sk I'm well, thank you! Up to 20mg Crestor now, and my carotid plaque has gone down. I'm being monitored every year, and get my carotids tested every 2 years. I'm very grateful for Crestor!

  • @sugarmane
    @sugarmane Před 3 lety

    My friend hes only 27. He just had a stroke from a blood clot in his neck, is he going to be ok? Worried.

    • @JohnsHopkinsMedicine
      @JohnsHopkinsMedicine  Před 3 lety

      Hi Blain, if you would like an apt for your friend, please call 855-695-4872. Please note, many of our offices are reaching out to patients to reschedule appointments as video visits; this will depend on visit type and currently, these are only available for existing patients. Please call the above number to learn more about what options may be available for your specific situation. You can see more on our patient and visitor guidelines at www.hopkinsmedicine.org/coronavirus/index.html#patient-visitor-alerts

    • @VerendumGames
      @VerendumGames Před 2 lety

      Was your friend okay? My father just had a stroke and is 54. Wondering if he’s going to be alright. Hearing they might do surgery.

    • @sugarmane
      @sugarmane Před 2 lety +1

      @@VerendumGames yeah hes fine he had surgery he just can't move one side of his body. He's in rehab right now trying to regain function in the side that doesn't work.

  • @kathleensmyth4004
    @kathleensmyth4004 Před 7 lety

    artherie calcium scoring is the best

  • @debbradecker9900
    @debbradecker9900 Před rokem

    I have a blockage of 100% on my right side and had a stroke. That was 11 years ago. I wish it had been caught before I had the 100% blockage.

    • @Fun_Food_travel_with_me
      @Fun_Food_travel_with_me Před rokem +1

      Do you have 100% blocked carotid artery? , What treatment is going on now ?

    • @debbradecker9900
      @debbradecker9900 Před rokem

      @@Fun_Food_travel_with_me
      My treatment was therapy for movements. I take blood pressure meds, blood thinners. I was taking a 10 mg statin then I heard how bad they are for you so I quit taking it and ended up having 2 stents put in my heart. I am now back on statins but 20 mg. I have a ultrasound done on my carotid artery’s once a year to be sure my left artery stays open. They say it is 0-49% I live on my own now and I think I do pretty well but it would be nice if my right artery could have been cleared so I could have all my limbs in better working order.

    • @Fun_Food_travel_with_me
      @Fun_Food_travel_with_me Před rokem

      @@debbradecker9900 so it was a coronary artery and not the carotid artery right? Bcaz my father had bypass but his both carotid artery shows 30% block

    • @debbradecker9900
      @debbradecker9900 Před rokem +1

      @@Fun_Food_travel_with_me my carotid artery is the 100% blockage 2011. My heart stents were February this year. I quit taking my statin 2019.

    • @Fun_Food_travel_with_me
      @Fun_Food_travel_with_me Před rokem

      @@debbradecker9900 ohh thanks for the clarification , god bless you.

  • @JC-wq9sy
    @JC-wq9sy Před 5 lety

    My dad has 100% stenosis of the right carotid artery, and 50-69% stenosis of the left. This will be his second surgery to fix the left. It is an issue every person on his side of his family has had.

    • @thecatbeast1
      @thecatbeast1 Před 4 lety

      J C so they were able to unblock the right side when it is was 100percent blocked?

  • @Serenityafterall
    @Serenityafterall Před 6 lety +4

    I'm almost 52 yrs old and just had surgery . The seriousness of this procedure 😑😑😑😑😑😑😑👼

  • @texasmobileimaging3918
    @texasmobileimaging3918 Před 4 lety +6

    Over the last 23 years, I have performed over 100,000 carotid duplex scans, in the "screening environment" that he gave absolutely ZERO credit to. Shame on you sir, for negatively generalizing, qualified techs in the field, who are identifying significant, asymptomatic, carotid stenosis in people, who have no idea that they may be walking time bombs, because your stethoscope could not detect a carotid bruit. WE are the warriors, making a difference in helping educate people, and giving them access to these scans, that they would not normally have, due to high costs, and refusal of insurance companies to pay doctors to order them, until someone has symptoms, IF they are lucky enough to have symptoms, which most DO NOT.

    • @williamgaige6207
      @williamgaige6207 Před 2 lety +3

      calling BS on your claim. So you would have to do 17 scans every day for 23 years without any vacations, or sick days.

    • @Better_Call_Raul
      @Better_Call_Raul Před rokem

      The Doctor says he sees lots of patients who have had carotid duplex scans from outside labs that indicate need for surgery. But after scanning these patients at his hospital, it turns out the scans are okay.
      But it is not clear what went wrong with the original scans. I thought it would be like x-rays and relatively straightforward procedure. But maybe it is complicated and requires highly skilled scan operators.

    • @koobee3535
      @koobee3535 Před rokem

      who is he?

  • @mikesmith1702
    @mikesmith1702 Před 2 lety +1

    why don't you tell people how to avoid you and johns hopkins?