Guidelines
An update on Italian Stroke Organization guidelines on carotid endarterectomy and stenting
Gaetano Lanza,
Stefano Ricci,
Carlo Setacci,
Patrizio Castelli,
Claudio Novalil,
Carlo Pratesi,
Francesco Speziale,
Alberto Cremonesi,
Ernesto Morlacchi,
Jessica Lanza,
Paola Santalucia,
Augusto Zaninelli,
Gian Franco Gensini,
Corresponding Author
Gaetano Lanza
Department of Vascular Surgery, IRCCS MultiMedica Hospital, Castellanza, Italy
Correspondence: Gaetano Lanza, Department of Vascular Surgery, IRCCS MultiMedica Hospital, Viale Piemonte 70, 21053 Castellanza, Italy.
E-mail: [email protected]
Search for more papers by this authorStefano Ricci
Department of Neurology, ASL 1, Città di Castello e Branca, Italy
Search for more papers by this authorCarlo Setacci
Vascular Endovascular Surgery Unit, Department of Surgery, University of Siena, Siena, Italy
Search for more papers by this authorPatrizio Castelli
Vascular Endovascular Surgery Unit, Department of Surgical Sciences, University of Insubria, Varese, Italy
Search for more papers by this authorClaudio Novalil
Department of Vascular Surgery, S. Croce e Carle Hospital, Cuneo, Italy
Search for more papers by this authorCarlo Pratesi
Department of Vascular Surgery, University of Florence, Florence, Italy
Search for more papers by this authorFrancesco Speziale
Vascular Surgery Department, Policlinico Umberto I, ‘La Sapienza’ University, Rome, Italy
Search for more papers by this authorAlberto Cremonesi
Department of Medical and Surgical Cardiology, Cecilia Hospital, Cotignola, Ravenna, Italy
Search for more papers by this authorErnesto Morlacchi
Department of Vascular Surgery, IRCCS MultiMedica Hospital, Castellanza, Italy
Search for more papers by this authorJessica Lanza
Vascular Endovascular Surgery Unit, Department of Surgical Sciences, University of Insubria, Varese, Italy
Search for more papers by this authorPaola Santalucia
Scientific Direction and Emergency Medicine Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
Search for more papers by this authorAugusto Zaninelli
School of Medicine, University of Florence, Florence, Italy
Search for more papers by this authorGian Franco Gensini
Department of Critical Care, University of Florence, Florence, Italy
Search for more papers by this authorGaetano Lanza,
Stefano Ricci,
Carlo Setacci,
Patrizio Castelli,
Claudio Novalil,
Carlo Pratesi,
Francesco Speziale,
Alberto Cremonesi,
Ernesto Morlacchi,
Jessica Lanza,
Paola Santalucia,
Augusto Zaninelli,
Gian Franco Gensini,
Corresponding Author
Gaetano Lanza
Department of Vascular Surgery, IRCCS MultiMedica Hospital, Castellanza, Italy
Correspondence: Gaetano Lanza, Department of Vascular Surgery, IRCCS MultiMedica Hospital, Viale Piemonte 70, 21053 Castellanza, Italy.
E-mail: [email protected]
Search for more papers by this authorStefano Ricci
Department of Neurology, ASL 1, Città di Castello e Branca, Italy
Search for more papers by this authorCarlo Setacci
Vascular Endovascular Surgery Unit, Department of Surgery, University of Siena, Siena, Italy
Search for more papers by this authorPatrizio Castelli
Vascular Endovascular Surgery Unit, Department of Surgical Sciences, University of Insubria, Varese, Italy
Search for more papers by this authorClaudio Novalil
Department of Vascular Surgery, S. Croce e Carle Hospital, Cuneo, Italy
Search for more papers by this authorCarlo Pratesi
Department of Vascular Surgery, University of Florence, Florence, Italy
Search for more papers by this authorFrancesco Speziale
Vascular Surgery Department, Policlinico Umberto I, ‘La Sapienza’ University, Rome, Italy
Search for more papers by this authorAlberto Cremonesi
Department of Medical and Surgical Cardiology, Cecilia Hospital, Cotignola, Ravenna, Italy
Search for more papers by this authorErnesto Morlacchi
Department of Vascular Surgery, IRCCS MultiMedica Hospital, Castellanza, Italy
Search for more papers by this authorJessica Lanza
Vascular Endovascular Surgery Unit, Department of Surgical Sciences, University of Insubria, Varese, Italy
Search for more papers by this authorPaola Santalucia
Scientific Direction and Emergency Medicine Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
Search for more papers by this authorAugusto Zaninelli
School of Medicine, University of Florence, Florence, Italy
Search for more papers by this authorGian Franco Gensini
Department of Critical Care, University of Florence, Florence, Italy
Search for more papers by this authorConflict of interest: None declared.
Abstract
One hundred and fifty-three authors, 45 Italian scientific societies, and two Italian patients’ associations participated in drafting the Italian Stroke Organization document, which has become the national guideline for the prevention and treatment of stroke in Italy. For the surgical therapy section of the Italian Stroke Organization document, the main trials on carotid endoarterectomy and stenting were critically reviewed in order to formulate recommendations for these procedures. Recommendations are presented here for the referral of patients to either carotid endarterectomy or stenting on the basis of whether carotid stenosis is symptomatic or asymptomatic.
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