July 8th, 2014
USPSTF Finalizes Recommendations on Carotid Artery Stenosis Screening
The U.S. Preventive Services Task Force has recommended against screening for asymptomatic carotid artery stenosis in the general adult population (grade D recommendation). Published in the Annals of Internal Medicine, the statement reiterates the group’s 2007 guidance.
The harms of screening outweigh the benefits, the task force says. The groups notes that all screening strategies (e.g., ultrasonography, magnetic resonance angiography) “have imperfect sensitivity and could lead to unnecessary surgery and result in serious harms, including death, stroke, and myocardial infarction.”
The recommendation applies to adults without histories of transient ischemic attack, stroke, or other neurologic symptoms.