- Treatments & Services
The carotid artery, which on either side of the neck is the route that takes blood from the heart to the brain. With the growth of age, risk factors such as hypertension, hyperlipidemia, hyperglycemia, high homocysteine , obesity, smoking, family history of early heart disease, lack of exercise, unhealthy diet and so on, the endothelium of blood vessels is damaged and the intima thickens, and cholesterol and lipid accumulate more and more on the inner wall of blood vessels.
The occurrence and development of typical atherosclerotic lesions go through four stages: the first is the fatty streaks stage, which is the early lesions of atherosclerosis. The second is the fibrous plaque stage, the fatty streaks further develop and evolve into fibrous plaques. The third is the stage of atheromatous plaque formation, in which the surface of the intima of the artery is marked with elevated gray-yellow plaques. The fourth is the stage of secondary lesions, including plaque hemorrhage, plaque rupture, thrombosis, calcification, aneurysm formation.
Carotid atherosclerosis has become a global disease, with nearly 2 billion people worldwide in 2020, 270 million of whom are Chinese. The detection rate is more than 40% in people over 40 years of age. The detection rate of carotid plaque in people over 45 years old who are diagnosed with stroke or TIA was close to 80%.
In recent years, with the popularity of physical examination, some people have been detected with carotid atherosclerotic plaque, but because they feel no discomfort, they no longer care about it. This is unscientific.
The carotid atherosclerosis will gradually get worse. Mild carotid atherosclerosis usually causes no symptoms until arteries become narrowed or blocked, resulting in insufficient blood supply to organs and tissues.
When carotid atherosclerotic lesions occurred, will cause the luminal stenosis, even blocking or broken, so that the sharp decline in brain perfusion, luminal stenosis and plaques and thrombosis is easy to fall off, after falling off the line with blood into the brain blood vessels, leading to ischemic cerebrovascular disease and even permanent disability.
Therefore, carotid atherosclerosis can be divided into two categories: symptomatic and asymptomatic according to whether there are related symptoms of cerebral ischemia:
(1) Transient ischemic attack (TIA) can be characterized by transient unilateral limb sensory and motor disturbances, blindness in one eye or aphasia, etc., which generally lasts only a few minutes and fully recovers within 24 hours after onset. There were no positive signs on physical examination and no focal lesions on imaging examination after the attack.
(2) The common clinical symptoms of ischemic stroke include sensory and/or motor impairment of one side of the limb, aphasia, and coma in severe cases. Physical examination may show neurological locational signs, and imaging examination may show focal lesions.
Many patients with carotid atherosclerotic disease have no neurological symptoms or only nonspecific symptoms, such as dizziness, headache and syncope.
So, how to evaluate which carotid atherosclerosis and plaque needs treatment, and how to prevent and treat it correctly? The Department of Neurology of JIH has set up a "carotid atherosclerosis and plaque clinic", which is referred to as "carotid plaque clinic".
We will collect the patient's medical history, conduct neurological physical examination, and select laboratory examination and imaging examination (cervical vascular ultrasound, CT/CTA, MRI/MRA, HRVW-MRI, TCD foaming test, etc.) for the specific situation of each patient. To screen high-risk factors of atherosclerosis, assess the severity, and formulate individualized, accurate and effective treatment plans to protect the cerebrovascular health of patients.
CHEN Yan, MD,PhDRead MoreDepartment:NeurologyCognitive impairmentParkinson's disease and movement disordersHeadache ClinicNeurologyCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, English
DUAN Hao, MD,PhDRead MoreDepartment:NeurologySleep Medicine ClinicCerebrovascular Diseases ClinicCognitive impairmentHeadache ClinicNeurologyCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, English
Jeffrey LI, MDRead MoreDepartment:General Internal MedicineNeurologySleep Medicine ClinicHeadache ClinicVertigo ClinicAdult Fever consultationNeurologyGeneral Internal MedicineCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Jiahui Health (Shanghai Yangpu)Languages:普通话, English
Thomas QIN, MDRead MoreDepartment:SurgeryVaricose Vein ClinicVascular SurgeryCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Jiahui Health (Shanghai Jing'an)Jiahui Health (Shanghai Yangpu)Languages:普通话, English
WEI Meng, MD, PhD
LIU Rong, MD
FEI Minzhong, MDRead MoreDepartment:CardiologyCardiovascular Implantable Electronic Device Clinic (Pacemaker)Carotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, English
HE Yaping, MD, PhDRead MoreDepartment:CardiologyCardiac Rehabilitation ClinicCarotid atherosclerosis and plaque clinicLocation:Jiahui International Hospital (Shanghai)Languages:普通话, English
Emma SUN, MD, PhD
Affordable prices set your mind at ease
Service Name Price Unit Price Specialist consultation fee per visit 800-1500* Consultation fee is determined by clinicians according to the complexity of the patient’s condition. Jiahui Health reserves the right to interpret and adjust prices. All prices in RMB.