Management of atherosclerotic carotid artery disease: Clinical practice guidelines of the Society for Vascular Surgery
- Hobson, Robert W.
- Mackey, William C.
- Ascher, Enrico
- Murad, M. Hassan
- Calligaro, Keith D.
- Comerota, Anthony J.
- Montori, Victor M.
- Eskandari, Mark K.
- Massop, Douglas W.
- Bush, Ruth L.
- Lal, Brajesh K.
- Perler, Bruce A.
DOIAbstract
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 (<50% in symptomatic and <60% in asymptomatic patients), we recommend optimal medical therapy rather than revascularization (GRADE 1 recommendation, high quality evidence). In s...
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