Management of atherosclerotic carotid artery disease: Clinical practice guidelines of the Society for Vascular Surgery

• Published in: Journal of vascular surgery 2008-08, Vol.48 (2), p.480-486
• Main Authors: Hobson, Robert W., MD, Mackey, William C., MD, Ascher, Enrico, MD, Murad, M. Hassan, MD, Calligaro, Keith D., MD, Comerota, Anthony J., MD, Montori, Victor M., MD, Eskandari, Mark K., MD, Massop, Douglas W., MD, Bush, Ruth L., MD, Lal, Brajesh K., MD, Perler, Bruce A., MD
• Format: Article
• Language: English
• Subjects: Angiography - methods; Angioplasty - methods; Atherosclerosis - complications; Atherosclerosis - mortality; Atherosclerosis - therapy; Carotid Stenosis - diagnosis; Carotid Stenosis - etiology; Carotid Stenosis - mortality; Carotid Stenosis - therapy; Endarterectomy, Carotid - methods; Evidence-Based Medicine; Female; Follow-Up Studies; Humans; Male; Patient Selection; Platelet Aggregation Inhibitors - therapeutic use; Randomized Controlled Trials as Topic; Risk Assessment; Severity of Illness Index; Societies, Medical; Stents; Surgery; Survival Analysis; Thrombolytic Therapy - methods; Treatment Outcome; Ultrasonography, Doppler, Duplex; United States
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2008.05.036

The Society for Vascular Surgery (SVS) appointed a committee of experts to formulate evidence-based clinical guidelines for the management of carotid stenosis. In formulating clinical practice recommendations, the committee used systematic reviews to summarize the best available evidence and the GRADE scheme to grade the strength of recommendations (GRADE 1 for strong recommendations; GRADE 2 for weak recommendations) and rate the quality of evidence (high, moderate, low, and very low quality). In symptomatic and asymptomatic patients with low-grade carotid stenosis (