You are here:

Vascular Surgery/Carotid ultrasound


Hello. I'm not sure how to reply to your message asking some clarifying questions so I will re-ask it with better info.

I am female, mid-30's. History of migraines, heart palpitations, need to lose weight. Not diabetic, never smoker, no significant family history of stroke. Blood pressure isn't high, but I am on beta blockers for the palpitation symptoms. I can hear my pulse in one ear and it goes away when I press on my neck. Doctor ordered carotid ultrasound. Test shows stenosis on both left and right ICA. Went to a vascular surgeon (I don't know what his specialty is). He said that the ultrasound was incorrect - that there is no narrowing and all is fine - no further tests or visits are needed.

I am confused why the US would show numbers like 143 and 95 if everything is fine. Should I seek a second opinion?

thank you
you should seek a second opinion and you should see a peripheral vascular surgeon who has done hundreds carotid surgeries
has vascular surgeons by city and state
you can read resumes and find your right surgeon

Vascular Surgery

All Answers

Answers by Expert:

Ask Experts


Lauri Ordway


I can answer your questions related to your circulation, your peripheral vascular system. This includes all arteries and veins except those inside the head and inside the heart. For example, neck (carotid), arms (carotid subclavian bypasses to Thoracic Outlet) belly (aortic aneurysm & occlusive disorders, renal artery stenosis), legs (iliac, femoral, popliteal, peroneal, dorasalis pedis, posterior and anterior tibial) arteries. Aneurysm & occlusive disease, atherosclerosis, leg pain, arterial wounds and gangrene, amputation prevention. Arterial Bypass, Reynaud’s, Buerger's disease (thromboangiitis obliterans), Thoracic Outlet and other circulation disorders. Vein disorders: Blood Clots (DVT), post-phlebetic syndrome, varicose veins, venous stasis ulcers. I can help with vascular wounds from diagnosis to treatments. I have worked extensively with VNUS Closure and EVLT (Laser) for varicose veins and can describe pre and post procedure expectations and describe the procedures themselves. I can't help with spider veins or cosmetic vein treatment, we don't do it. I have 15 years of wound care experience, arterial, venous, trauma and diabetic wounds for example. **I CANNOT answer questions about STENTS or STENTING, heart disease, blood pressure, brain aneurysm although I can help with questions about the arteries that go to and from those organs.


I am a nurse, I worked for 15 years with two terrific peripheral vascular surgeons, and one of them is also the inventor of very innovative wound care products and surgical instruments to make vascular surgery procedures better and faster. I wrote and manage the clinic website and field questions from patients all over the world. I am now working with another vascular surgeon and wound care expert, which has given me an opportunity to widen my horizons as I learn another excellent physician's preferences and benefit from his experiences in this amazing specialty.

I am an LPN, licensed in Minnesota

©2017 All rights reserved.