Abstract
Percutaneous carotid interventions are a rapidly emerging treatment modality, accompanied by rapid technological and methodological development. There is now a large evidence base for the procedure, by which individual results can be compared and judged, in relation to acceptability of outcome measures and complications. In the contemporary setting, in most countries, it is no longer acceptable for practitioners to start on new procedures without some form of training and, ideally, accreditation.
For carotid interventions, the debate has been further complicated by the fact that several disciplines have been involved with its development to date — vascular surgeons, neurosurgeons, inter-ventional radiologists, and cardiologists. When regarded as an experimental procedure, it was perhaps acceptable for individuals to construct their own training and move into the field when they felt it appropriate. This may not now be the case in many countries. An experimental procedure (also sometimes referred to as an investigational procedure) is usually considered to be one which has not been accepted into clinical practice and has not been critically assessed in peer-reviewed medical literature or academic meetings. A procedure is not experimental if sufficient studies are available to prove its efficacy and safety. Carotid artery stenting (CAS) in general, by these definitions, can no longer be regarded as experimental. A procedure cannot be classified as “experimental” or “investigational” simply because of the inexperience of the practitioner or institution.
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Stansby, G., Macdonald, S. (2009). Carotid Artery Stenting. First Steps: Training, Support, and Proctorship. In: Macdonald, S., Stansby, G. (eds) Practical Carotid Artery Stenting. Springer, London. https://doi.org/10.1007/978-1-84800-299-9_4
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DOI: https://doi.org/10.1007/978-1-84800-299-9_4
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