What workup should we require for a patient who has had one TIA and demonstrates 80% carotid stenosis?
The workup that I would recommend of a patient with a single TIA and an 80% carotid stenosis would include carotid ultrasound combined with MRA. If these studies correlated, then I would proceed with carotid endarterectomy after medicine or cardiology consultation and workup for coronary artery disease.
Lee
K S
KS
Division of Neurosurgery, Eastern Carolina University School of Medicine, Greenville, North Carolina 27834, USA.
D002309:Cardiology; D016893:Carotid Stenosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D003327:Coronary Disease / Q000175:diagnosis; D016894:Endarterectomy, Carotid; D006801:Humans; D002546:Ischemic Attack, Transient / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D018810:Magnetic Resonance Angiography; D012017:Referral and Consultation; D014463:Ultrasonography