The clinical implications of adopting new criteria for the grading of internal carotid artery stenosis.

ABSTRACT:

Introduction

A patient's eligibility for carotid endarterectomy (CEA) is determined primarily by the degree of carotid stenosis detected on duplex ultrasound. The Australasian Society for Ultrasound in Medicine (ASUM) criteria are widely used to grade carotid stenoses in many practices throughout Australasia.

Methods

We sought to investigate the potential impact on the grading of carotid artery stenosis if practitioners switched from the ASUM criteria to the United Kingdom's joint recommendation (UKJR) criteria by reviewing 100 patients with a haemodynamically significant carotid artery stenosis.

Results

We found agreement between the criteria in 100% of cases for stenoses <50%, in 80% of cases for stenoses 50-69%, in 89% of cases for stenoses ≥70% and in 100% of case

SUBMITTER: Curtis N 

PROVIDER: S-EPMC8409869 | biostudies-literature | 2018 Feb

REPOSITORIES: biostudies-literature