Carotid artery stenting: First consensus document of the ICCS-SPREAD joint committee

Alberto Cremonesi, Carlo Setacci, Angelo Bignamini, Leonardo Bolognese, Francesco Briganti, Germano Di Sciascio, Domenico Inzitari, Gaetano Lanza, Luciano Lupattelli, Salvatore Mangiafico, Carlo Pratesi, Bernard Reimers, Stefano Ricci, Gianmarco De Donato, Ugo Ugolotti, Augusto Zaninelli, Gian Franco Gensini

Research output: Contribution to journalArticle

Abstract

BACKGROUND AND PURPOSE - The prevention of stroke and the correct treatment of carotid artery stenosis represent today a major debate in cardiovascular medicine. Beside carotid endarterectomy, carotid angioplasty and stenting is becoming more widely performed for the treatment of severe carotid obstructive disease, and is now accepted as a less invasive technique that may provide an alternative for selected patients, particularly those with significant comorbidities. An Italian multidisciplinary task force, in which converged the most representative scientific societies involved in carotid treatment, was created to provide neurologists, radiologist, cardiologists, vascular surgeons, and all those involved in prevention and treatment of carotid disease with a simple, clear and updated evidence-based consensus document. SUMMARY OF REVIEW - This First Consensus Document of the ICCS (Italian Consensus Carotid Stenting)/SPREAD group addressed the main issues related to methodology, definition of symptomatic and asymptomatic carotid stenosis, indication and procedures for carotid artery stenting, including the use of devices for preventing procedural embolic complications. Special attention was paid to credentials and competency for physicians qualifications to perform vascular angioplasty and stent placement, including training, acceptable complication rates and certification. CONCLUSIONS - As any guideline or consensus statement, also this document is valid as long as the evidence on which it is based remains up-to-date. In such a fast-evolving field of medicine as the management of carotid stenosis, it is mandatory to stimulate a continuous and fruitful discussion among all the professionals involved in this very evolutionary field.

Original languageEnglish
Pages (from-to)2400-2409
Number of pages10
JournalStroke
Volume37
Issue number9
DOIs
Publication statusPublished - Sep 2006

Keywords

  • Carotid stenosis
  • Consensus statement

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Neuroscience(all)

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    Cremonesi, A., Setacci, C., Bignamini, A., Bolognese, L., Briganti, F., Di Sciascio, G., Inzitari, D., Lanza, G., Lupattelli, L., Mangiafico, S., Pratesi, C., Reimers, B., Ricci, S., De Donato, G., Ugolotti, U., Zaninelli, A., & Gensini, G. F. (2006). Carotid artery stenting: First consensus document of the ICCS-SPREAD joint committee. Stroke, 37(9), 2400-2409. https://doi.org/10.1161/01.STR.0000236101.09480.b7