RT Book, Section A1 Tafur, Jose D. A1 White, Christopher J. A2 Baliga, R. R. A2 Lilly, Scott M. A2 Abraham, William T. SR Print(0) ID 1160207699 T1 Carotid Artery Disease T2 Color Atlas and Synopsis of Interventional Cardiology YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9780071749350 LK accesscardiology.mhmedical.com/content.aspx?aid=1160207699 RD 2024/10/10 AB Dr. John Doe is a 67-year-old vascular surgeon and is self-referred for evaluation of a carotid bruit found on a routine insurance physical examination. He has no focal neurologic symptoms and reports no history consistent with a stroke or transient ischemic attack (TIA). He has a history of hypertension, dyslipidemia, and non–insulin-dependent diabetes all well-controlled on medical therapy. Physical exam confirms a right-sided bruit in the neck, and the rest of the physical exam is unremarkable. His medications include a daily baby aspirin (81 mg), atorvastatin (20 mg), lisinopril (10 mg), hydrochlorothiazide (12.5 mg), and metformin (500 mg). Duplex ultrasound reveals an 80% to 89% stenosis of his right internal carotid artery and 20% to 49% stenosis of his left internal carotid artery. What are the consequences of Dr. Doe’s carotid artery disease? How should his case be approached?