An Update on Italian Stroke Organization Guidelines on Carotid Endarterectomy and Stenting

Author:

Lanza Gaetano1,Ricci Stefano2,Setacci Carlo3,Castelli Patrizio4,Novalil Claudio5,Pratesi Carlo6,Speziale Francesco7,Cremonesi Alberto8,Morlacchi Ernesto1,Lanza Jessica4,Santalucia Paola9,Zaninelli Augusto10,Gensini Gian Franco11

Affiliation:

1. Department of Vascular Surgery, IRCCS MultiMedica Hospital, Castellanza, Italy

2. Department of Neurology, ASL 1, Città di Castello e Branca, Italy

3. Vascular Endovascular Surgery Unit, Department of Surgery, University of Siena, Siena, Italy

4. Vascular Endovascular Surgery Unit, Department of Surgical Sciences, University of Insubria, Varese, Italy

5. Department of Vascular Surgery, S. Croce e Carle Hospital, Cuneo, Italy

6. Department of Vascular Surgery, University of Florence, Florence, Italy

7. Vascular Surgery Department, Policlinico Umberto I, ‘La Sapienza’ University, Rome, Italy

8. Department of Medical and Surgical Cardiology, Cecilia Hospital, Cotignola, Ravenna, Italy

9. Scientific Direction and Emergency Medicine Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy

10. School of Medicine, University of Florence, Florence, Italy

11. Department of Critical Care, University of Florence, Florence, Italy

Abstract

One hundred and fifty-three authors, 45 Italian scientific societies, and two Italian patients' associations participated in drafting the Italian Stroke Organization document, which has become the national guideline for the prevention and treatment of stroke in Italy. For the surgical therapy section of the Italian Stroke Organization document, the main trials on carotid endoarterectomy and stenting were critically reviewed in order to formulate recommendations for these procedures. Recommendations are presented here for the referral of patients to either carotid endarterectomy or stenting on the basis of whether carotid stenosis is symptomatic or asymptomatic.

Publisher

SAGE Publications

Subject

Neurology

Reference80 articles.

1. National Stroke Association guidelines for the management of transient ischemic attacks

2. Scottish Intercollegiate Guideline Network. SIGN 50: a guideline developers'handbook. SIGN Publication No. 50 [published 2001 February; last updated 2004 May]. Available at http://www.sign.ac.uk (accessed 5 March 2009).

3. Beneficial Effect of Carotid Endarterectomy in Symptomatic Patients with High-Grade Carotid Stenosis

4. MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70-99%) or with mild (0-29%) carotid stenosis

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