. Author manuscript; available in PMC: 2015 Jul 25.

Published in final edited form as: J Vasc Surg. 2012 Jun 12;56(1):e17–e51. doi: 10.1016/j.jvs.2012.05.054

Table 1.2.

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

Indication		Appropriate Use Score (1–9)
9.	• No cervical bruit • Atherosclerotic disease in other vascular beds (eg, 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 (eg, 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.