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Review
. 2024 Jun;47(6):705-716.
doi: 10.1007/s00270-024-03707-y. Epub 2024 Apr 29.

CIRSE Standards of Practice on Carotid Artery Stenting

Stavros Spiliopoulos  1 , Raphaël Blanc  2 , Roberto Gandini  3 , Stefan Müller-Hülsbeck  4 , Wolfgang Reith  5 , Ornella Moschovaki-Zeiger  6
Affiliations
Review

CIRSE Standards of Practice on Carotid Artery Stenting

Stavros Spiliopoulos et al. Cardiovasc Intervent Radiol. 2024 Jun.

Abstract

Background: Carotid artery stenting has been used effectively to treat internal carotid artery stenosis since 1989 (Mathias et al. in World J Surg. 25(3):328-34, 2001), with refined and expanded techniques and tools presently delivering outstanding results in percutaneous endoluminal treatment of carotid artery stenosis.

Purpose: This CIRSE Standards of Practice document is directed at interventional radiologists and details the guidelines for carotid artery stenting, as well as the different implementation techniques. In addition to updating all previously published material on the different clinical indications, it will provide all technical details reflective of European practice for carotid artery stenting. CIRSE Standards of Practice documents do not aim to implement a standard of clinical patient care, but rather to provide a realistic strategy and best practices for the execution of this procedure.

Methods: The writing group, which was established by the CIRSE Standards of Practice Committee, consisted of five clinicians with internationally recognised expertise in carotid artery stenting procedures. The writing group reviewed existing literature on carotid artery stenting procedures, performing a pragmatic evidence search using PubMed to select relevant publications in the English language from 2006 to 2022.

Results: Carotid artery stenting has an established role in the management of internal carotid artery stenosis; this Standards of Practice document provides up-to-date recommendations for its safe performance.

Keywords: Carotid artery; Endovascular treatment; Stenting.

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Conflict of interest statement

All authors declare they have no conflict of interest.

References

    1. Mathias K, Jäger H, Hennigs S, Gissler HM. Endoluminal treatment of internal carotid artery stenosis. World J Surg. 2001;25(3):328–334. doi: 10.1007/s002680020378. - DOI - PubMed
    1. Bonati LH, Kakkos S, Berkefeld J, et al. European stroke organisation guideline on endarterectomy and stenting for carotid artery stenosis. Eur Stroke J. 2021;6(2):I–XLVII. doi: 10.1177/23969873211012121. - DOI - PMC - PubMed
    1. White CJ, Brott TG, Gray WA, Heck D, Jovin T, Lyden SP, Metzger DC, Rosenfield K, Roubin G, Sachar R, Siddiqui A. Carotid artery stenting: JACC state-of-the-art review. JACC. 2022;80(2):155–170. doi: 10.1016/j.jacc.2022.05.007. - DOI - PubMed
    1. Ferguson GG, Eliasziw M, Barr HW, Clagett GP, Barnes RW, Wallace MC, Taylor DW, Haynes RB, Finan JW, Hachinski VC, Barnett HJ. The north american symptomatic carotid endarterectomy trial: surgical results in 1415 patients. Stroke. 1999;30(9):1751–1758. doi: 10.1161/01.STR.30.9.1751. - DOI - PubMed
    1. Macdonald S, Cleveland TJ, Gaines PA. Quality guidelines for carotid stenting. CIRSE 2006;1–23

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