Table 1.2

Evaluation for Cerebrovascular Disease—Asymptomatic With Comorbidities or Risk Factors for Carotid Artery Stenosis

IndicationAppropriate Use Score (1–9)
9.
  • No cervical bruit

  • Atherosclerotic disease in other vascular beds (e.g., lower extremity PAD, coronary artery disease, abdominal aortic aneurysm)

A (7)
10.
  • No cervical bruit

  • History of neck irradiation ≥10 years ago

U (5)
11.
  • Known renal fibromuscular dysplasia

U (5)
Prior to Open Heart Surgery
12.
  • Planned coronary artery bypass grafting (CABG)

U (6)
13.
  • Atherosclerotic disease in other vascular beds (e.g., lower extremity PAD, coronary artery disease, abdominal aortic aneurysm), or history of neck irradiation ≥10 years ago

  • Planned valve repair/replacement surgery (without CABG)

U (6)
14.
  • Atherosclerotic risk factors present

  • Planned valve repair/replacement surgery (without CABG)

U (6)
15.
  • No atherosclerotic risk factors

  • Planned valve repair/replacement surgery (without CABG)

U (4)

A = appropriate; CABG = coronary artery bypass graft; I = inappropriate; PAD = peripheral artery disease; U = uncertain.