Should a 15mm carotid artery plaque be treated?
Sep 08, 2023
Source: Cainiu Health
Dr. Zhang Jianbin
Introduction
Carotid plaque refers to plaques or deposits that form on the walls of the carotid arteries in the neck, typically composed of cholesterol, calcium, and other substances. A 15mm carotid plaque usually requires treatment. Mild cases can be managed under a doctor's guidance with antiplatelet medications to prevent platelet aggregation. Severe cases may require surgical intervention.
Carotid plaque refers to plaques or deposits that form on the walls of the carotid arteries in the neck, typically composed of cholesterol, calcium, and other substances. A 15mm carotid plaque usually requires treatment, although the specific approach depends on the individual's condition.
A 15mm carotid plaque is generally considered large and may lead to arterial hardening or insufficient blood supply to the brain, causing symptoms such as dizziness, nausea, and transient monocular blindness. In severe cases, the plaque may dislodge and cause cerebral infarction. Therefore, active cooperation with medical treatment is essential. Moreover, carotid plaques tend to progressively enlarge over time, worsening arterial stenosis, so intervention is often necessary. Additionally, if a patient has a history of stroke or transient ischemic attack related to carotid plaque, treatment can help prevent recurrence.
For patients with mild symptoms, antiplatelet medications may be prescribed under a doctor’s guidance. Commonly used drugs include enteric-coated aspirin tablets, warfarin sodium tablets, and clopidogrel hydrogen sulfate tablets. For more severe cases, surgical interventions such as carotid endarterectomy or carotid artery stenting may be recommended.
