Polling Station

Poll 01/08/2018 – 31/08/2018

Asymptomatic carotid artery disease

Patient’s characteristics


Gender: Female

Age: 72 years old

Comorbidity: Arterial hypertension, hypercholesterinemia, previous smoker

Symptoms: None

Previous operations: None

Vascular Imaging of the left internal carotid artery: Duplex ultrasound with peak systolic velocity (PSV)> 230 cm/sec

Question #1

Which would be your further imaging modality?
  • CT angiography
  • MR angiography
  • None
  • Duplex Ultrasound scanning from a second operator
  • Intra-arterial digital subtraction angiography
Question #2

Is in asymptomatic patients the percent of the stenosis the single indication for treatment?
  • Yes
  • No
Question #3

Which criterion is the most important to decide between carotid endarterectomy and carotid artery stenting in a patient with an asymptomatic carotid artery stenosis?
  • Comorbidity
  • Plaque morphology
  • Aortic arch morphology
  • Gender
  • Age
Question #4

Does gender influence your decision making in patients with asymptomatic carotid artery disease?
  • Yes
  • No
Question #5

Is TCAR (Transcarotid Arterial Revascularization) a valuable alternative to the established invasive treatment options?
  • I am not familiar with TCAR technique
  • Yes
  • No
Question #6

How often do you perform imaging follow up following CEA or CAS in your daily practice?
  • Every 3 months
  • Every 6 months
  • Every 12 months
  • We do not perform imaging follow up
Question #7

Do you perform carotid artery disease screening in asymptomatic patients undergoing cardiac surgery in your daily practice?
  • Yes
  • No