Why do guidelines recommend screening for abdominal aortic aneurysms, but not for asymptomatic carotid stenosis? A plea for a randomized controlled trial

Paraskevas, Kosmas I;Spence, J David;Mikhailidis, Dimitri P;Antignani, Pier Luigi;Gloviczki, Peter;Eckstein, Hans-Henning;Spinelli, Francesco;Stilo, Francesco;Saba, Luca;Poredos, Pavel;Dardik, Alan;Liapis, Christos D;Mansilha, Armando;Faggioli, Gianluca;Pini, Rodolfo;Jezovnik, Mateja K;Sultan, Sherif;Musiałek, Piotr;Goudot, Guillaume;Lavenson, George S;Jawien, Arkadiusz;Blinc, Aleš;Myrcha, Piotr;Fernandes E Fernandes, Jose;Geroulakos, George;Kakkos, Stavros K;Knoflach, Michael;Proczka, Robert M;Capoccia, Laura;Rundek, Tatjana;Svetlikov, Alexei S;Silvestrini, Mauro;Ricco, Jean-Baptiste;Davies, Alun H;Di Lazzaro, Vincenzo;Suri, Jasjit S;Lanza, Gaetano;Fraedrich, Gustav;Zeebregts, Clark J;Nicolaides, Andrew N

2022-01-01

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Abstract

Current guidelines do not recommend screening for asymptomatic carotid artery stenosis (AsxCS). The rationale behind this recommendation is that detection of AsxCS may lead to an unnecessary carotid intervention. In contrast, screening for abdominal aortic aneurysms is strongly recommended.