title: SCAI/SVM expert consensus statement on carotid stenting: Training and credentialing for carotid stenting.
abstract: Carotid artery stenting (CAS) has become an integral part of the therapeutic armamentarium offered by cardiovascular medicine programs for the prevention of stroke. The purpose of this expert consensus statement is to provide physician training and credentialing guidance to facilitate the safe and effective incorporation of CAS into clinical practice within these programs. Since publication of the 2005 Clinical Competence Statement on Carotid Stenting, there has been substantial device innovation, publication of numerous clinical trials and observational studies, accumulation of extensive real-world clinical experience and widespread participation in robust national quality improvement initiatives [5]. Collectively, these advances have led to substantial evolution in the selection of appropriate patients, as well as in the cognitive, technical and clinical skills required to perform safe and effective CAS. Herein, we summarize published guidelines, describe training pathways, outline elements of competency, offer strategies for tracking outcomes, specify facility, equipment and personnel requirements, and propose criteria for maintenance of CAS competency.
authors.affiliation: Cardiovascular Institute of RI; Alpert Medical School of Brown University, Providence, Rhode Island.
authors.forename: Herbert D
authors.initials: HD
authors.lastname: Aronow
authors.affiliation: Ochsner Medical Center, New Orleans, Los Angeles.
authors.forename: Tyrone J
authors.initials: TJ
authors.lastname: Collins
authors.affiliation: Columbia University Medical Center, New York, New York.
authors.forename: William A
authors.initials: WA
authors.lastname: Gray
authors.affiliation: Massachusetts General Hospital, Boston, Massachusetts.
authors.forename: Michael R
authors.initials: MR
authors.lastname: Jaff
authors.affiliation: Lehigh Valley Hospital, Allentown, Penninsylvania.
authors.forename: Bryan W
authors.initials: BW
authors.lastname: Kluck
authors.affiliation: Ochsner Medical Center, New Orleans, Los Angeles.
authors.forename: Rajan A G
authors.initials: RA
authors.lastname: Patel
authors.affiliation: Massachusetts General Hospital, Boston, Massachusetts.
authors.forename: Kenneth A
authors.initials: KA
authors.lastname: Rosenfield
authors.affiliation: Beaumont Health, Royal Oak, Michigan.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Safian
authors.affiliation: Brigham and Women's Hospital, Boston, Massachusetts.
authors.forename: Piotr S
authors.initials: PS
authors.lastname: Sobieszczyk
authors.affiliation: Cleveland Clinic, Cleveland, Ohio.
authors.forename: Siddharth A
authors.initials: SA
authors.lastname: Wayangankar
authors.affiliation: Ochsner Medical Center, New Orleans, Los Angeles.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: White
mesh_terms: D017130:Angioplasty / Q000193:education* / Q000295:instrumentation*; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D002533:Cerebral Angiography; D002983:Clinical Competence / Q000592:standards; D032921:Consensus; D003406:Credentialing / Q000592:standards; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000592:standards; D006801:Humans; D011237:Predictive Value of Tests; D012955:Societies, Medical / Q000592:standards; D015607:Stents; D016896:Treatment Outcome
keywords: carotid stenosis; carotid stent; expert consensus document; stroke