DESCRIPTION Update of the 2007 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for carotid artery stenosis. METHODS The USPSTF commissioned a systematic review to synthesize the evidence on the accuracy of screening tests, externally validated risk-stratification tools, the benefits of treatment of asymptomatic carotid artery stenosis with carotid endarterectomy (CEA)...

BACKGROUND In the past decade, there has been an increase in the amount of patients with medical co-morbidities referred for coronary artery bypass surgery (CABG). Significant carotid artery disease in patients undergoing CABG procedures increases the risk of neurological complications. We review the results of routine carotid screening in patients undergoing CABG to determine the contemporary ...

BACKGROUND Directed ultrasonic screening for carotid stenosis is cost-effective in populations with > 5% prevalence of the diagnosis. Occasionally, calcifications in the area of the carotid arteries are incidentally detected on odontological panoramic radiographs. We aimed to determine if directed screening for carotid stenosis with ultrasound is indicated in individuals with such calcification...

BACKGROUND Cerebrovascular disease is the third leading cause of death in the United States. The proportion of all strokes attributable to previously asymptomatic carotid artery stenosis (CAS) is low. In 1996, the U.S. Preventive Services Task Force concluded that evidence was insufficient to recommend for or against screening of asymptomatic persons for CAS by using physical examination or car...

OBJECTIVES Trials suggesting that carotid endarterectomy in individual subjects with asymptomatic carotid stenosis reduces stroke risk have led to calls for screening. This study aimed to determine which groups might be harmed and which might benefit from a screening programme, and also to identify which individual subjects identified as positive for severe asymptomatic stenosis by carotid ultr...

Högberg, D. 2017. Screening for asymptomatic carotid atherosclerosis. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 1367. 77 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-513-0060-3. Ischemic stroke is the most common cause of handicap in adults and the third most common cause of death in Sweden. Internal carotid artery atherosclerosis is an im...

Development and Internal Validation of a Risk Score to Detect Asymptomatic Carotid StenosisEuropean Journal Vascular Endovascular SurgeryVol. 61Issue 3PreviewAsymptomatic carotid stenosis (ACS) is associated with an increased risk ischaemic stroke myocardial infarction. scores have been developed detect individuals at high ACS, thereby enabling targeted screening, but previous external validati...

BACKGROUND AND PURPOSE Several recent clinical trials have shown that endarterectomy is efficacious in patients with asymptomatic carotid artery stenosis. The purpose of this study was to evaluate the effectiveness of various test strategies for screening and diagnosing carotid artery disease. METHODS We constructed a model of the natural history of carotid artery disease using literature-bas...

US Preventive Services Task Force; Alex H. Krist, MD, MPH; Karina W. Davidson, PhD, MASc; Carol M. Mangione, MSPH; Michael J. Barry, MD; Cabana, MA, Aaron B. Caughey, PhD; Katrina Donahue, Chyke A. Doubeni, John Epling Jr, MSEd; Martha Kubik, RN; Gbenga Ogedegbe, Lori Pbert, Silverstein, Melissa Simon, Chien-Wen Tseng, MPH, MSEE; Wong, MD