Carotid Ultrasound

If you choose to be screened and the doctor tells you that your are destined to have a stroke without surgery, run as fast as you can – in the opposite direction - Steven Willing

Carotid Ultrasound

image by: American Institute of Ultrasound in Medicine (AIUM)

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Point/Counterpoint: Is screening for asymptomatic carotid artery stenosis justified?

In this Point-Counterpoint Dr. Zierler and Dr. Berland provide their views on this controversial issue. From my perspective the debate must revolve around the following questions: The gist of the USPSTF statement seems to be that screening is being performed only to detect patients with critical carotid stenosis so that an intervention (CEA or CAS) can be performed.

However, shouldn’t screening also be used to identify atherosclerotic burden in order to prevent cardiovascular morbidity? Whatever the reasons for screening, should national health systems pay for screening? If not, what about individual physicians charging for screenings on selected/nonselected patients? What about…

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Last Updated : Thursday, October 10, 2019