7 doctors weighed in:
Is the first step for carotid artery disease an ultrasound?
7 doctors weighed in

Dr. Laura Pak
Surgery - Vascular
5 doctors agree
In brief: Yes, generally
Ultrasound is the best screening tool for carotid disease.
It is non-invasive and gives flow data in real time. Carotid ultrasound is advised for people with multiple risk factors (age over 65, high blood pressure, high cholesterol, diabetes, strong family history, smoking), people with symptoms of stroke or an abnormal noise (bruit) in the neck on exam.

In brief: Yes, generally
Ultrasound is the best screening tool for carotid disease.
It is non-invasive and gives flow data in real time. Carotid ultrasound is advised for people with multiple risk factors (age over 65, high blood pressure, high cholesterol, diabetes, strong family history, smoking), people with symptoms of stroke or an abnormal noise (bruit) in the neck on exam.
Dr. Laura Pak
Dr. Laura Pak
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2 comments
Dr. Khashayar Salartash
If there is any disease of the carotid circulation then this should be followed with another ultrasound in 6-12 months if it is mild to moderate disease. If there is severe disease then further testing may be needed.
Dr. Linda Harris
Typically carotid ultrasounds are ordered when the physician detects a bruit (noise) in the neck. The physical exam is not able to determine whether the blockage is significant, or minimal. The duplex is able to evaluate both images and hemodynamic information to determine a range of disease. If a person has symptoms, and blockage >50%, intervention is usually indicated.
Dr. Shadi Abu Halimah
Surgery - Vascular
In brief: Yes
Doing an ultrasound test or what is called duplex ultrasound is the best non invasive test to diagnose carotid disease .
Sometime you may need additional testing with ct scan , MRI or even an angiogram which is the most invasive but most most accurate test.

In brief: Yes
Doing an ultrasound test or what is called duplex ultrasound is the best non invasive test to diagnose carotid disease .
Sometime you may need additional testing with ct scan , MRI or even an angiogram which is the most invasive but most most accurate test.
Dr. Shadi Abu Halimah
Dr. Shadi Abu Halimah
Thank
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