Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would agree with your doctor on the fact that there is no need for surgery or Eliquis. You should know that the total carotid artery occlusion is usually related to atherosclerosis. Eliquis is a blood thinner, used to prevent stroke from a cardiac disorder like arrhythmia. For this reason, Aspirin is a better choice for stroke prevention, coupled with a good control of your arterial hypertension and blood lipid profile. Hope to have been helpful! Wishing all the best.