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Skip to content Skip to search Skip to footer Neurosurgery Open Menu Back Close Menu Search for: Search Close Search AboutAbout News Diversity, Equity &＃038; Inclusion Contact Us Giving PeoplePeople Clinical Faculty Research Faculty Affiliated Faculty Fellows Residents Advanced Practice Providers Administration Patient CarePatient Care Aneurysms/Vascular Brain Tumors Chiari Malformation / Syringomyelia Epilepsy Hydrocephalus Movement Disorders Pain Pediatrics Peripheral Nerve Spine ResearchResearch Laboratories Clinical TrialsClinical Trials Trials with Outpatient EnrollmentTrials with Outpatient Enrollment Outpatient – Pediatric Outpatient-Spine and Peripheral Nerve Outpatient – Epilepsy and Functional Outpatient-Vascular Outpatient-Oncology Trials with Inpatient EnrollmentTrials with Inpatient Enrollment Inpatient – Oncology Inpatient – Vascular Inpatient- Pediatric Inpatient-Spine and Peripheral Nerve NeurotechnologyNeurotechnology Center for Innovation in Neuroscience and Technology (CINT) NEURO360 EducationEducation Residency Program Fellowship ProgramsFellowship Programs Advanced Surgical Neuro-oncology Fellowship Endovascular Surgical Neuroradiology Fellowship Pediatric Neurosurgery Fellowship Neurosurgical Peripheral Nerve and Spine Fellowship Neurosurgical Complex Spine Fellowship Stereotactic, Functional and Epilepsy Surgery Fellowship Third-year Clerkship Diversity Sub-internship Funding Medical Student Research Opportunities Fourth-year Sub-internship Learning Environment Life Outside the Hospital Join Our Team AppointmentsAppointments Patient imaging Patient forms Open Search Carotid Stenosis What is Carotid Stenosis? Call 314-362-3577 for Patient Appointments Carotid stenosis is a narrowing of the carotid arteries, the two large arteries responsible for carrying oxygen-rich blood to the brain. The narrowing is caused by a buildup of atherosclerotic plaque in the arteries. When the blockage prevents blood from reaching parts of the brain, causing shortages of oxygen, it can result in transient ischemic attacks (TIAs) or a stroke. Clots that may form on narrowing portions of the arteries can break off and also cause TIAs or stroke. Our Experts Locations Why rely on Washington University experts to treat your carotid stenosis? To provide patients the absolute best treatment, Washington University neurosurgeons partner with The Barnes-Jewish Hospital Stroke and Cerebrovascular Center which is the first in Missouri—and one of the first in the United States — to be designated a Comprehensive Stroke Center by the Joint Commission and the American Heart Association/American Stroke Association. This certification is awarded to hospitals that achieve higher standards and meet specific criteria for resources, staff and training that are essential to treat the most complex stroke cases. In the Center, a multidisciplinary team coordinates treatments for carotid stenosis. The team includes Washington University cerebrovascular surgeons, neurologists, and neuro-radiologists. We have a policy of urgent treatment for all patients with symptomatic carotid artery stenosis (carotid stenting or carotid endarterectomy) within 24 hours of diagnosis. For more information about the strict criteria to be designated a Comprehensive Stroke Center, see Barnes-Jewish & Washington University Stroke Center. Carotid Stenosis Treatments There are two primary options for the treatment of carotid stenosis: Carotid endarterectomy This is a surgical procedure to remove fatty deposits (plaque) that are narrowing the arteries in your neck. It is the standard treatment for severe buildup of plaque in the carotid artery. During this procedure, the surgeon makes a small cut in the patient’s neck at the spot where the artery is blocked or narrowedopens up the narrowed artery and removes the plaquemake the artery as smooth and clean as possiblecloses up the artery and the cut Surgery usually lasts about 1-2 hours. Patients are generally able to return to work within a month, but should make healthy lifestyle changes to reduce the chance of further plaque deposits and to lower the risk of stroke. Carotid Stenting Stenting is often recommended for people who are unable to undergo an endarterectomy (e.g. for people who can&＃8217;t tolerate the side effects of anesthesia).  A stent is a slender metal-mesh tube that is placed inside an artery to keep the artery open. Carotid stenting is a treatment that offers an effective means of re-establishing blood flow through blocked carotid arteries and is part of a stroke prevention strategy. The goal of carotid stenting is the restoration of adequate blood flow (revascularization) through the affected part of the body by enlarging the blood vessel from within. Department of NeurosurgeryWashington University School of Medicine660 South Euclid AvenueCampus Box 8057St. Louis, MO 63110314-362-3570Contact Us Instagram Twitter YouTube Information Refer a patient Clinical faculty directory Locations Giving Careers Faculty job openings Staff job openings Patients MyChart Patient forms Patient imaging ©2024 Washington University in St. Louis