Updated Society for Vascular Surgery guidelines for management of extracranial carotid disease

Journal of Vascular Surgery
John J RicottaSociety for Vascular Surgery

Abstract

Management of carotid bifurcation stenosis is a cornerstone of stroke prevention and has been the subject of extensive clinical investigation, including multiple controlled randomized trials. The appropriate treatment of patients with carotid bifurcation disease is of major interest to the community of vascular surgeons. In 2008, the Society for Vascular Surgery published guidelines for treatment of carotid artery disease. At the time, only one randomized trial, comparing carotid endarterectomy (CEA) and carotid stenting (CAS), had been published. Since that publication, four major randomized trials comparing CEA and CAS have been published, and the role of medical management has been re-emphasized. The current publication updates and expands the 2008 guidelines with specific emphasis on six areas: imaging in identification and characterization of carotid stenosis, medical therapy (as stand-alone management and also in conjunction with intervention in patients with carotid bifurcation stenosis), risk stratification to select patients for appropriate interventional management (CEA or CAS), technical standards for performing CEA and CAS, the relative roles of CEA and CAS, and management of unusual conditions associated with extra...Continue Reading

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Related Concepts

Stent, Device
Internal Carotid Artery Stenosis
Carotid Endarterectomy
Transluminal Angioplasty
Benefit-Risk Assessment
Selection of Subjects
Evidence-Based Medicine
Acute Cerebrovascular Accidents
Blood Vessel
Carotid Artery Diseases

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