Right common carotid artery bifurcation plaque 13.1*2.5mmTreatment modalities usually include lifestyle intervention, medication, and surgery. The specific treatment plan is decided according to the patient’s symptoms and the degree of stenosis.
1. Lifestyle intervention: change the lifestyle, quit smoking and drinking, low-salt and low-fat diet, eat less fatty meat, fried greasy food, appropriate exercise, obese people need to lose weight, regular work and rest.
2. Drug treatment: anti-platelet, lipid control is the main focus, commonly used aspirin, clopidogrel and other anti-platelet drugs, atorvastatin and other statin lipid-lowering drugs, treatment of the underlying diseases, such as hypertension patients need to take nifedipine, metoprolol and other antihypertensive drugs to control blood pressure, combined with the need for diabetics to take dagliflozin and other antihyperglycemic drugs to control blood glucose.
3. Surgery: When the plaque causes carotid artery stenosis ≥70%, or the patient has obvious symptoms such as dizziness, memory loss, limb weakness, hemiplegia, black haze, etc., it is recommended to deal with it as soon as possible, and surgical treatments such as carotid artery endarterectomy and carotid artery stenting can be considered.
If the patient has a 13.1*2.5mm plaque at the right common carotid bifurcation with dizziness, black haze and other discomforts, it is recommended to go to the hospital in time, combined with CTA or imaging and other tests to clarify the degree of carotid artery stenosis, and follow the doctor’s instructions for active treatment.