Guideline decision tool · Neurology
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Carotid Stenosis (NASCET / ECST) — free guideline decision tool

Compute extracranial carotid (ICA) stenosis from diameters using the NASCET method (optional ECST) with grade and management direction.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Common questions

What does Carotid Stenosis (NASCET / ECST) do?

Quantify carotid stenosis for revascularization decisions in symptomatic and asymptomatic disease.

How is the result calculated?

NASCET = (1 − A/B)×100, where A = narrowest residual lumen and B = distal normal ICA diameter. Mild < 50%, moderate 50–69%, severe ≥ 70%. ECST = (1 − A/C)×100 (C = original bulb diameter).

Is this a substitute for clinical judgement?

No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.

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Run Carotid Stenosis (NASCET / ECST) now

Compute extracranial carotid (ICA) stenosis from diameters using the NASCET method (optional ECST) with grade and management direction.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.