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Diagnostic Evaluation of the Carotid Arteries

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All previous CEAP statements and a subscription to future reports are now available in Clinical Efficacy Reports. This paper represents the third to be distributed in the 1988/89 subscription series.

Requests for Reprints: Linda Johnson White, Director, Department of Scientific Policy, American College of Physicians, 4200 Pine Street, Philadelphia, PA 19104.

© 1988 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1988;109(10):835-837. doi:10.7326/0003-4819-109-10-835
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This excerpt has been provided in the absence of an abstract.

This Clinical Efficacy Assessment Project report evaluates when and how to study the carotid arteries. Several commonly encountered clinical situations are considered, and recommendations are provided regarding whether or not diagnostic testing should be done and, if so, whether noninvasive or invasive tests are preferable. The study also evaluates the safety, contraindications, efficacy, limitations, and costs of available diagnostic tests. The uncritical use of diagnostic tests could lead to the identification of lesions not causally related to the patient's symptoms, and the discovery of such lesions might lead to unnecessary carotid angiography and endarterectomy. Recommendations regarding when and how to


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