Cremonesi Alberto, Setacci Carlo, Bignamini Angelo, Bolognese Leonardo, Briganti Francesco, Di Sciascio Germano, Inzitari Domenico, Lanza Gaetano, Lupattelli Luciano, Mangiafico Salvatore, Pratesi Carlo, Reimers Bernard, Ricci Stefano, de Donato Gianmarco, Ugolotti Ugo, Zaninelli Augusto, Gensini Gian Franco
Società Italiana di Cardiologia Interventistica (Italian Society of Interventional Cardiology).
Stroke. 2006 Sep;37(9):2400-9. doi: 10.1161/01.STR.0000236101.09480.b7. Epub 2006 Aug 10.
The prevention of stroke and the correct treatment of carotid artery stenosis represent today a major debate in cardiovascular medicine. Beside carotid endarterectomy, carotid angioplasty and stenting is becoming more widely performed for the treatment of severe carotid obstructive disease, and is now accepted as a less invasive technique that may provide an alternative for selected patients, particularly those with significant comorbidities. An Italian multidisciplinary task force, in which converged the most representative scientific societies involved in carotid treatment, was created to provide neurologists, radiologist, cardiologists, vascular surgeons, and all those involved in prevention and treatment of carotid disease with a simple, clear and updated evidence-based consensus document.
This First Consensus Document of the ICCS (Italian Consensus Carotid Stenting)/SPREAD group addressed the main issues related to methodology, definition of symptomatic and asymptomatic carotid stenosis, indication and procedures for carotid artery stenting, including the use of devices for preventing procedural embolic complications. Special attention was paid to credentials and competency for physicians qualifications to perform vascular angioplasty and stent placement, including training, acceptable complication rates and certification.
As any guideline or consensus statement, also this document is valid as long as the evidence on which it is based remains up-to-date. In such a fast-evolving field of medicine as the management of carotid stenosis, it is mandatory to stimulate a continuous and fruitful discussion among all the professionals involved in this very evolutionary field.
预防中风以及正确治疗颈动脉狭窄是当今心血管医学领域的一个重大议题。除了颈动脉内膜切除术，颈动脉血管成形术和支架置入术在治疗严重颈动脉阻塞性疾病方面的应用越来越广泛，并且现在已被公认为是一种侵入性较小的技术，可为特定患者，尤其是那些患有严重合并症的患者提供一种替代治疗方法。一个由参与颈动脉治疗的最具代表性的科学协会汇聚而成的意大利多学科特别工作组成立，旨在为神经科医生、放射科医生、心脏病专家、血管外科医生以及所有参与颈动脉疾病预防和治疗的人员提供一份简单、清晰且最新的循证共识文件。
这份ICCS（意大利颈动脉支架置入术共识）/SPREAD小组的第一份共识文件阐述了与方法学、有症状和无症状颈动脉狭窄的定义、颈动脉支架置入术的适应症和操作程序相关的主要问题，包括用于预防手术栓塞并发症的器械的使用。特别关注了进行血管成形术和支架置入的医生资质和能力，包括培训、可接受的并发症发生率和认证。
与任何指南或共识声明一样，只要本文件所依据的证据保持最新，它就是有效的。在像颈动脉狭窄治疗这样一个快速发展的医学领域，必须促使所有参与这个不断发展领域的专业人员进行持续且富有成效的讨论。
