We give a verbal preliminary to the referring doc and keep the patient only on symptomatic carotid patients with 70-99% stenosis. Also for anyone who experiences a TIA during scanning. Asymptomatic 70-99% are processed as usual.
We actually had a man the other day with one month history of left hand/arm tingling. He had a 373/137 cm/sec internal stenosis on the right side. He experienced the tingling during the scanning. We paged his referring doctor who had him go to the ER.
Summa Health System
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