Carotid Artery Disease | Miami Cardiac & Vascular Institute
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Carotid Artery Disease

Carotid Artery Disease

Miami Cardiac & Vascular Institute experts treat carotid artery disease, or carotid stenosis (narrowing of the artery), to minimize your chances for a stroke. Our physicians work with you to help you manage and treat the disease before it has serious consequences. Our goal is to improve your health and quality of life.

The Institute offers the following treatments for eligible patients:

Carotid endarterectomy: A vascular surgeon makes an incision in your neck under general anesthesia. Next he or she temporarily clamps one of your carotid arteries to stop blood flow. The surgeon then removes plaque from the artery, stitches it closed and removes the clamp. During the surgery the carotid artery on the other side of your neck supplies blood to your brain.

Coronary artery stenting: An interventional radiologist performs this minimally invasive procedure under local anesthesia. He or she threads a small catheter through a blood vessel in your groin. Once the catheter reaches your carotid artery, a removable protection device deploys. This device fits inside the artery to capture any plaque that could loosen and cause a stroke. Next, the doctor places a mesh-like metal device called a stent in the narrowed portion of the artery. The stent keeps the artery open and restores blood flow to the brain.

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The care team at Miami Cardiac & Vascular Institute encourages all patients and family members to learn more about conditions and diseases that affect the heart and overall cardiovascular system. The links below provide more information about heart conditions and diseases that might be treated within this program.

Carotid Artery Disease
Carotid artery disease, also called carotid artery stenosis, occurs when the carotid arteries, the main blood vessels that carry oxygenated blood to the brain, become narrowed. The narrowing of the carotid arteries is most commonly related to atherosclerosis (a buildup of plaque, which is a deposit of fatty substances, cholesterol, cellular waste products, calcium and fibrin in the inner lining of an artery).​

To help in the diagnosis of your carotid artery disease, your physician may request that you have one or more of the following tests:

  • Carotid ultrasound/Carotid Doppler
  • Cerebral angiography
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As a leader in cardiac and vascular care, the Institute conducts clinical trials to explore new carotid artery disease treatments.

Gore SCAFFOLD
GORE® Carotid Stent Clinical Study for the Treatment of Carotid Artery Stenosis in patients at increased risk for adverse events from carotid endarterectomy.
Principal Investigator: James Benenati, M.D. (Active Enrollment)
Co-investigators: Barry Katzen, M.D., Italo Linfante, M.D., Guilherme Dabus, M.D.

SAPPHIRE WORLDWIDE
Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy
Principal Investigator: Barry Katzen, M.D. (Active Follow-Up)
Co-investigators: James Benenati, M.D., Italo Linfante, M.D.

CREST
Carotid Revascularization Endarterectomy vs. Stent Trial
Principal Investigator: Barry Katzen, M.D. (Active Follow-up)
Co-investigators: Athanassios Tsoukas, M.D., Stephen Kang, M.D.

CREST-2
Carotid Revascularization and Medical Management for Asymptomatic Carotid Stenosis Trial (CREST-2) and Crest-2 Registry (C2R).
Principal Investigator: Barr​y Katzen, M.D. (Active Enrollment)​
Co-investigators: Athanassios Tsoukas, M.D., Ian Del Conde Pozzi, M.D., James Benenati, M.D., Guilherme Dabus, M.D., ​Italo Linfante, M.D.​​​

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