CIRSE Standards of Practice on Carotid Artery Stenting

Stavros Spiliopoulos; Raphaël Blanc; Roberto Gandini; Stefan Müller-Hülsbeck; Wolfgang Reith; Ornella Moschovaki-Zeiger

doi:10.1007/s00270-024-03707-y

CIRSE Standards of Practice on Carotid Artery Stenting

Cardiovasc Intervent Radiol. 2024 Apr 29. doi: 10.1007/s00270-024-03707-y. Online ahead of print.

Authors

Stavros Spiliopoulos¹, Raphaël Blanc², Roberto Gandini³, Stefan Müller-Hülsbeck⁴, Wolfgang Reith⁵, Ornella Moschovaki-Zeiger⁶

Affiliations

¹ Interventional Radiology Unit, 2nd Department of Radiology, National and Kapodistrian University of Athens, "Attikon" University General Hospital, Athens, Greece. stavspiliop@med.uoa.gr.
² Department of Interventional Neuroradiology, Foundation Rothschild Hospital, Paris, France.
³ Diagnostic and Interventional Radiology/Neuroradiology, University of Rome "Tor Vergata", Rome, Italy.
⁴ Diagnostic and Interventional Radiology/Neuroradiology, DIAKO Hospital, Flensburg, Germany.
⁵ Department of Neuroradiology, Saarland University, Homberg, Germany.
⁶ Interventional Radiology Unit, 2nd Department of Radiology, National and Kapodistrian University of Athens, "Attikon" University General Hospital, Athens, Greece.

PMID: 38683353
DOI: 10.1007/s00270-024-03707-y

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.