Carotid arteries are major blood vessels on each side of your neck that supply blood to your brain. Carotid artery disease occurs when these vessels become narrowed or blocked due to atherosclerosis, the buildup of plaque made of fat, cholesterol and other substances. This reduces blood flow to your brain and increases your stroke risk. At Prime Vascular Care, we specialize in diagnosing and treating carotid artery disease to prevent strokes and protect your brain health.
Sudden weakness
Speaking Difficulty
Vision problems
Numb limbs
Carotid artery disease develops when fatty deposits (called plaque) build up inside the arteries on both sides of your neck that carry blood to your brain. This narrowing (known as stenosis) reduces blood flow and increases stroke risk. The condition often progresses silently for years, making early detection crucial.
Risk factors include:
Smoking and high blood pressure
High cholesterol and diabetes
Family history of vascular disease
Obesity and sedentary lifestyle
Age (greater risk over age 60)
Previous stroke or mini-stroke (TIA)
At Prime Vascular Care, diagnosis begins with a comprehensive vascular evaluation to accurately assess the extent of plaque buildup and determine the best treatment approach for your specific condition.
Our diagnostic methods include:
Carotid Duplex Ultrasound: Non-invasive test to measure blood flow and plaque buildup
CT or MR Angiography: Advanced imaging for detailed assessment
Physical Exam: Listening for a "bruit," an abnormal sound over the artery
Complete evaluation of your symptoms and risk factors
Most people with carotid artery disease have no warning signs until the condition becomes advanced. Sometimes, the first sign is a stroke or transient ischemic attack (TIA), often called a “mini-stroke.” Recognizing these symptoms and acting quickly can save brain function and lives.
Risk factors include:
Sudden weakness or numbness on one side of the body
Trouble speaking or understanding speech
Sudden vision problems in one or both eyes
Dizziness, loss of balance, or confusion
Severe sudden headache
The foundation of carotid artery disease treatment focuses on preventing stroke through lifestyle modifications and medications. This approach is often effective for managing early-stage disease and reducing overall cardiovascular risk.
Lifestyle changes: quitting smoking, heart-healthy diet, regular exercise
Cholesterol-lowering drugs (statins) and blood pressure control
Antiplatelet therapy (aspirin or clopidogrel) to prevent clots
Regular monitoring with ultrasound to track progression
For patients with significant narrowing (usually over 70%) or symptoms, surgical removal of plaque from the carotid artery can effectively restore blood flow and reduce stroke risk.
Direct surgical removal of plaque buildup
Recommended for significant narrowing with symptoms
Proven long-term results for stroke prevention
Performed through small neck incision
This minimally invasive option places a small stent inside the artery to keep it open. It’s often recommended for patients who may be at higher risk for traditional surgery.
Minimally invasive with smaller incision
Stent keeps artery open and improves blood flow
Good option for high-risk surgical patients
Shorter recovery time compared to open surgery
We provide comprehensive follow-up care to ensure your treatment remains effective and your stroke risk stays low. Regular monitoring helps us adjust your care plan as needed.
Regular ultrasound monitoring to track artery health
Medication adjustments based on your response
Lifestyle coaching and support for long-term success
Coordination with your other healthcare providers
Experienced Vascular Surgeon
Board-certified vascular surgeon with extensive expertise in both open surgical procedures and minimally invasive techniques, ensuring you receive the highest level of specialized care for your condition.
Advanced Imaging and Diagnostics
State-of-the-art diagnostic capabilities including duplex ultrasound and advanced imaging ensure accurate assessment and precise treatment planning tailored to your specific anatomy and risk factors.
Comprehensive Stroke Prevention
From medical management and risk factor control to advanced surgical interventions, our complete approach focuses on one goal: protecting your brain health and preventing stroke throughout your life.
I was dealing with varicose veins for years, and the pain had started to affect my daily life. I came across Prime Vascular Care and I’m so glad I did. Dr. Akinrinlola and his team were incredibly thorough in explaining my treatment options. The procedure was quick and nearly painless, and I’ve noticed a huge difference in how my legs feel. I’m finally able to enjoy activities I couldn’t before. Highly recommend Prime Vascular Care to anyone needing vascular treatment in Virginia!
After being diagnosed with deep vein thrombosis, I was worried about my future health. Dr. Akinrinlola explained everything clearly and gave me confidence that I was in great hands. The team at Prime Vascular Care not only treated my condition effectively but also made me feel supported every step of the way. I’ve since made a full recovery and can’t thank them enough for their expert care.
I had been suffering from peripheral artery disease for some time, and I felt like I had no options left. Prime Vascular Care was recommended to me, and I’m so grateful I made the appointment. The treatment plan was tailored to my specific needs, and Dr. Akinrinlola’s expertise really put me at ease. My circulation has improved dramatically, and I feel so much better. I can walk without pain again, and it’s all thanks to the excellent care I received.
I was referred to Prime Vascular Care for an abdominal aortic aneurysm, and I was nervous about the procedure. Dr. Akinrinlola took the time to explain everything in detail, and his confidence really helped calm my fears. The surgery was a success, and I’m now recovering well. I can’t express how much I appreciate the professionalism and kindness of the entire team. They truly care about their patients’ well-being.
Office Hours
Monday
8:00 AM to 4:00 PM EST
Tuesday
8:00 AM to 4:00 PM EST
Wednesday
8:00 AM to 4:00 PM EST
Thursday
8:00 AM to 4:00 PM EST
Friday
8:00 AM to 4:00 PM EST
Sat & Sun
Closed
Book An Appointment
Most people have no symptoms until the disease is advanced. The first sign is often a stroke or TIA (mini-stroke). We can detect it early with a simple, painless ultrasound test, especially if you have risk factors like smoking, high blood pressure, or diabetes.
A TIA (transient ischemic attack) causes stroke-like symptoms that go away within minutes or hours, while a stroke causes permanent brain damage. Both are medical emergencies – call 911 immediately. A TIA is often a warning that a major stroke could happen soon.
Not necessarily. Many patients are successfully managed with medications, lifestyle changes and monitoring. Surgery is typically recommended when the artery is severely narrowed (over 70%) or if you’ve had symptoms like a TIA or stroke.
Most patients go home the next day after carotid endarterectomy. You’ll have activity restrictions for about two weeks, but most people return to normal activities within a month. Stenting procedures have even shorter recovery times.
We’ll monitor you with ultrasounds every 6-12 months initially, then annually if everything looks stable. You’ll also need ongoing management of risk factors like blood pressure and cholesterol to prevent the disease from progressing.
At Prime Vascular Care, we prioritize your well-being with compassionate, patient-centered treatment and clinical excellence.
Treatments