Screening for carotid artery stenosis: U.S. Preventive Services Task Force recommendation statement

Ann Intern Med. 2007 Dec 18;147(12):854-9. doi: 10.7326/0003-4819-147-12-200712180-00005.


Description: Update of the 1996 U.S. Preventive Services Task Force statement about screening for asymptomatic carotid artery stenosis (CAS) in the general population.

Methods: The U.S. Preventive Services Task Force examined the evidence on the natural history of CAS; systematic reviews of the accuracy of screening tests; observational studies of the harms of screening and treatment of asymptomatic CAS; and randomized, controlled trials of the benefits of treatment for CAS with carotid endarterectomy.

Recommendation: Do not screen for asymptomatic CAS in the general adult population. (Grade D recommendation).

Publication types

  • Meta-Analysis
  • Practice Guideline
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Biomedical Research
  • Carotid Stenosis / complications
  • Carotid Stenosis / diagnostic imaging*
  • Carotid Stenosis / surgery*
  • Endarterectomy, Carotid / adverse effects
  • Humans
  • Mass Screening*
  • Reproducibility of Results
  • Risk Factors
  • Stents
  • Stroke / prevention & control
  • Ultrasonography, Doppler, Duplex