Carotid Artery Stenting: Operator and Institutional Learning Curves

Siddharth A Wayangankar; Herbert D Aronow

doi:10.1016/j.iccl.2013.09.010

Carotid Artery Stenting: Operator and Institutional Learning Curves

Interv Cardiol Clin. 2014 Jan;3(1):91-103. doi: 10.1016/j.iccl.2013.09.010. Epub 2013 Nov 26.

Authors

Siddharth A Wayangankar¹, Herbert D Aronow²

Affiliations

¹ University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
² St Joseph Mercy Hospital, Ann Arbor, MI, USA. Electronic address: haronow@michiganheart.com.

PMID: 28582158
DOI: 10.1016/j.iccl.2013.09.010

Abstract

Despite rapid growth in the frequency that carotid artery stenting (CAS) is performed, there remain concerns regarding the steep learning curve associated with this procedure. This article reviews the evidence base supporting operator and institutional CAS learning curves and discusses their implications for the establishment and maintenance of competencies. Attempts are made to delineate minimum volume thresholds to attain these goals and means to enhance procedural safety without compromising patient access.

Keywords: Carotid artery stenting; Learning curve; Stroke.

Publication types

Review