Guideline for Extracranial Carotid Stenting: Preliminary Report

Suh, Sang Il

Abstract

Carotid angioplasty with stenting (CAS) under the distal embolic protection provides the effective and safe non-surgical treatment of significant carotid bulb stenosis with lower complication rates than carotid endarterectomy (CEA), especially for high surgical risk groups, in the prevention and management of ischemic stroke. Nowadays many clinical fields, such as radiologist, neurologist, neurosurgeon, cardiologist, and vascular surgeon, perform the CAS procedure with independent or multidisciplinary approach. Thus we need uniform reporting system and guidlinelines for the effective management and randomized clinical trials of the extracranial carotid stenosis. In this report, we (practice guideline taskforce team in the korean society of interventional neuroradiology) review the recent published guidelines and reporting systems for CAS and propose diagnostic, therapeutic, and follow-up guidelines and standards for the CAS practices in the Korea.