Abstract

Sponsoring Organizations: American College of Cardiology, American Heart Association, American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, Society for Vascular Surgery, American Academy of Neurology, Society of Cardiovascular Computed Tomography Background and Purpose: These new guidelines on caring for patients with extracranial carotid and vertebral artery disease (ECVD) provide recommendations for diagnostic testing, modification of risk factors, and medical and surgical therapies, focusing on the use of stenting and surgery for carotid revascularization. Key Points: 1. Population screening for asymptomatic carotid artery stenosis is not recommended (Class III, level C). 2. Duplex ultrasonography is the recommended initial diagnostic test in asymptomatic patients with known or suspected carotid …

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