Ultrasound assessment of carotid arterial atherosclerotic disease has become the first choice for carotid artery stenosis screening permitting the evaluation of both the macroscopic appearance of plaques as well as flow characteristics in the carotid artery this article focus on internal carotid artery ica stenosis reporting both criteria the one published by society of radiologists in . The choice among the carotid artery imaging methods depends mainly on the clinical indications for imaging and the availability and expertise at individual centers to improve the accuracy of the diagnosis the use of two imaging modalities before revascularization is suggested 23 comparison of methods is in table 2 the general approach to . Imaging for carotid artery stenosis patients with severe carotid artery atherosclerosis are at high risk for stroke and may benefit from revascularization duplex ultrasonography dus of the carotid artery is recommended for asymptomatic patients with carotid bruits who have experienced transient ischemic attacks tias in the recent past. The need for screening for carotid artery stenosis depends on whether someone is experiencing symptoms arising from the stenosis or has risk factors for the development of carotid artery disease the us preventive services task force uspstf recommends against routine screening for carotid artery stenosis in those without symptoms. Carotid artery stenosis online medical reference explores peripheral arterial disease and carotid artery stenosis from definition through diagnosis and treatments authored by natalie s evans md of the cleveland clinic
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