carotid stenosis

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Mike V
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Date Joined Aug 2007
Total Posts : 2
   Posted 8/13/2007 3:30 PM (GMT -7)   
I'm a 56 yo male with hyperlipidemia, hypertension and Hashimoto's.  I think I'm holding my own with 40 mg Lipitor, 88 mcg of synthroid and 10 mg Lisinopril as well as being on baby aspirin. 
 
I thought I was having a TIA the other day (peripheral vision) so went in to see my Doc who scheduled me for a color-ehanced, real-time duplex ultrasound with waveform analysis.
 
The results are in, Left ICA has severe plaque with 70% stenosis(NASCET) while Right ICA has less than 50% stenosis.  Also the vertebrals have this thing called anti-grade flow.  
 
Obviously a follow-up CT-A or MR-A is indicated before we go futher, but am I looking at medical or surgical fixes?  If medical, stents, angioplast or endarectomy (sp)?
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