Carotid Artery Stenosis

Mr. Rangarajan, 64 years who admitted in a private hospital with pain in right shoulder and numbness in right upper limb for the past two months. He is a chronic smoker for the 30 years. On the day of admission, he was hemodynamically stable. Investigations reveals HbA1C 6.6. Blood pressure was little high during hospitalization. Other. Echocardiogram shows 74% ejection fraction, adequate LV function, Cerebral angiogram reveals 70%-80% significant stenosis of left proximal internal carotid artery. MRI Brain Shows significant narrowing in origin of proximal left internal carotid artery. He was treated by anti-coagulants and anti lipidemics.