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Carotid disease refers to asymptomatic or symptomatic narrowing of the carotid artery.
As the plaque enlarges, it encroaches on the opening of the internal carotid artery. The narrowed opening of the internal carotid artery then presents a risk for stroke. This risk depends on the degree of narrowing of the carotid artery, on whether there are ulcerations on the plaque and whether conditions which predispose to blood clotting are present. Carotid disease is often asymptomatic. Patients with significant asymptomatic disease are at increased risk for stroke in the future.