Establishing an endovascular carotid stent program.
FDA approval of carotid stent and distal protection devices has transformed carotid artery stenting (CAS) from an investigational procedure to a practical application. Recent approval by the Center for Medicare Services (CMS) has ensured that CAS will be a part of everyday practice throughout the country. To establish a competitive endovascular carotid stent program, one needs to develop an effective strategy. The key to success is substance and service. A high-quality clinical program with excellent communication between the patient and referring physician is essential. You must first get access to the patient by establishing a clinical practice. As a radiologist, you have the advantage of gaining access by identifying appropriate patients through noninvasive vascular labs, CTA, and MRA. An algorithm-driven evaluation and treatment protocol with good pre- and postoperative care, along with a quality assurance program, will ensure that your carotid stent program has substance and delivers optimal service. With good planning, you will have a firm clinical foundation for treatment of carotid artery stenosis in your community. Putting all of the ingredients together will ensure a successful carotid endovascular program.
Raabe
Rod
R
Department of Radiology, Sacred Heart Medical Center, Spokane, WA 99220-2555, USA. rraabe@inland-imaging.com
Chong
Brian
B
D000465:Algorithms; D000800:Angioplasty, Balloon; D016893:Carotid Stenosis / Q000175:diagnosis / Q000628:therapy*; D016894:Endarterectomy, Carotid; D006801:Humans; D011216:Practice Management, Medical; D015641:Radiography, Interventional; D015607:Stents