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Screening for Asymptomatic Carotid Artery Stenosis in Adult Patients

Screening for Asymptomatic Carotid Artery Stenosis in Adult Patients Opinion EDITORIAL Unclear Benefit but Downstream Risks Salomeh Keyhani, MD, MPH; Eric M. Cheng, MD Carotid artery stenosis is a risk factor for stroke, but a rela- “do not do” list. The American Academy of Family Physi- tively small proportion of strokes (approximately 11%) can be cians recommends against screening for asymptomatic attributed to atherosclerosis of the internal carotid arteries. carotid artery stenosis in adult patients. The Society of Vas- There is no evidence that screening for carotid artery steno- cular Surgery recommends against routine surveillance of sis in the asymptomatic adult carotid arteries in the asymptomatic healthy population. population (ie, no history or The Society of Thoracic Surgeons recommends against rou- Multimedia symptoms of stroke or tran- tine evaluation of carotid artery disease prior to cardiac sur- sient ischemic attack) will re- gery in the absence of symptoms or other high-risk criteria. Related articles at duce the risk of stroke, but The American Academy of Neurology recommends against jama.com there are downstream risks imaging of the carotid arteries for simple syncope without jamanetworkopen.com from identifying patients with other neurologic symptoms. There is no national data avail- jama.com carotid stenosis. Thus, in a able on how the USPSTF and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Screening for Asymptomatic Carotid Artery Stenosis in Adult Patients

JAMA Internal Medicine , Volume 181 (5) – May 2, 2021

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References (39)

Publisher
American Medical Association
Copyright
Copyright 2021 American Medical Association. All Rights Reserved.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2021.0029
Publisher site
See Article on Publisher Site

Abstract

Opinion EDITORIAL Unclear Benefit but Downstream Risks Salomeh Keyhani, MD, MPH; Eric M. Cheng, MD Carotid artery stenosis is a risk factor for stroke, but a rela- “do not do” list. The American Academy of Family Physi- tively small proportion of strokes (approximately 11%) can be cians recommends against screening for asymptomatic attributed to atherosclerosis of the internal carotid arteries. carotid artery stenosis in adult patients. The Society of Vas- There is no evidence that screening for carotid artery steno- cular Surgery recommends against routine surveillance of sis in the asymptomatic adult carotid arteries in the asymptomatic healthy population. population (ie, no history or The Society of Thoracic Surgeons recommends against rou- Multimedia symptoms of stroke or tran- tine evaluation of carotid artery disease prior to cardiac sur- sient ischemic attack) will re- gery in the absence of symptoms or other high-risk criteria. Related articles at duce the risk of stroke, but The American Academy of Neurology recommends against jama.com there are downstream risks imaging of the carotid arteries for simple syncope without jamanetworkopen.com from identifying patients with other neurologic symptoms. There is no national data avail- jama.com carotid stenosis. Thus, in a able on how the USPSTF and

Journal

JAMA Internal MedicineAmerican Medical Association

Published: May 2, 2021

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