So, we all know that routine carotid ultraosound is strongly discouraged right?
- The 2014 United States Preventive Services Task Force (USPSTF) statement recommends against screening for asymptomatic carotid artery stenosis in the general population
- The 2014 guidelines for the primary prevention of stroke from the American Heart Association/American Stroke Association state that screening low-risk populations for asymptomatic carotid artery stenosis is not recommended
- Joint 2011 guidelines from multiple US societies (including the American College of Cardiology, American Heart Association, American Stroke Association, American College of Radiology, and the Society for Vascular Surgery) advise that carotid duplex ultrasonography "is not recommended for routine screening of asymptomatic patients who have no clinical manifestations of or risk factors for atherosclerosis"
But, these guidelines are noticeably silent on serial evaluation for asymptomatic patients with mild (<15%) or mild to moderate plaque (16-49%)
This is different from screening as the patient has already been screened.
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