Carotid Stenosis Assessment (NASCET/ECST)
Classifies carotid artery stenosis severity and guides endarterectomy vs stenting vs medical management based on NASCET criteria.
Score interpretation
→ Antiplatelet therapy (aspirin 75mg or clopidogrel 75mg); high-dose statin; BP and diabetes control; annual Duplex review
→ Vascular surgery assessment; consider CEA in 50-69% symptomatic; CEA for 70-99% asymptomatic in selected patients; MDT decision
→ Urgent CEA within 2 weeks of TIA/stroke if fit; carotid stenting (CAS) if CEA high risk; antiplatelet + statin immediately; same-day neurovascular/TIA clinic referral
Interpretation bands for the Carotid Stenosis. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Amlodipine · Dihydropyridine Calcium Channel Blocker — Raynaud's / Peripheral Vascular Disease / Hypertension
- Methotrexate (Dermatology — Psoriasis) · Disease-Modifying Antirheumatic / Immunosuppressant
- Aspirin (Loading Dose) · Antiplatelet — ACS / Ischaemic Stroke
- Alteplase (tPA) · Thrombolytic — Ischaemic Stroke / Massive PE
- Acetazolamide (Ménière's Disease) · Carbonic Anhydrase Inhibitor (Diuretic)
- Zinc acetate · Zinc salt (Wilson's disease)
- Peripheral Arterial Disease · NICE NG19 2012 / ESVS 2017
- Carotid Artery Disease · NICE CG68 / ESVS 2018
- Varicose Veins Management · NICE CG168 2013
- Venous Leg Ulcer Management · NICE NG204 2022
- Acute Stroke / TIA Assessment · NICE NG128; RCP Stroke Guidelines 2023
- Status Epilepticus (Adults) · NICE CG137; ESEM guidelines; RCP Neurology Guidelines
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.