Carotid artery imaging (screening)

For the treatment of

Carotid artery stenosis

Commissioning position

This intervention is commissioned if:

  • a patient has symptoms of carotid artery stenosis or
  • risk stratification is needed when planning coronary intervention.

 

This intervention is not otherwise commissioned for people without symptoms of carotid artery disease, including those undergoing other forms of cardiac surgery and those diagnosed with peripheral vascular disease.

 

Routine follow up for patients with carotid artery stenosis but no symptoms from it, is also not commissioned.

Summary of rationale

The United States Preventive Services Task Force recommended against screening for asymptomatic carotid artery disease (latest review 2021) on the grounds that evidence shows the risk of harms from screening for asymptomatic carotid artery stenosis outweigh the benefits.

References

Asymptomatic carotid artery stenosis screening - EBI

Screening for Asymptomatic Carotid Artery Stenosis: US Preventive Services Task Force Recommendation Statement JAMA

Associated Pathways

There are no associated pathways.

Specialties

Cardiology York Cardiology North Yorkshire Cardiology Hull Cardiology East Riding Cardiology North Lincolnshire Cardiology North East Lincolnshire Diagnostics York Diagnostics North Yorkshire Diagnostics Hull Diagnostics East Riding Diagnostics North Lincolnshire Diagnostics North East Lincolnshire Vascular York Vascular North Yorkshire Vascular Hull Vascular East Riding Vascular North Lincolnshire Vascular North East Lincolnshire

Places covered by

  • east-riding
  • hull
  • north-east-lincolnshire
  • north-lincolnshire
  • north-yorkshire
  • vale-of-york
Date created: 03/12/2025, 15:49
Last modified: 04/12/2025, 10:06
Date due for review: 31/12/2028