Clinical competence statement of the Society for Vascular Surgery on training and credentialing for transcarotid artery revascularization
JournalJournal of Vascular Surgery
MetadataShow full item record
AbstractAs the practice of medicine grows in complexity, the process of defining the expertise required for the competent execution of specific procedures has also become complex. The Society for Vascular Surgery therefore constituted a task force to provide informed recommendations on the knowledge, technical skills, resources, and infrastructure required to obtain and to maintain privileges for the safe and effective performance of transcarotid artery revascularization (TCAR). The TCAR procedure is being adopted rapidly, and it is therefore important that informed guidance be available expeditiously. Formal training in the pathophysiology and diagnosis of carotid occlusive disease and all management options is essential. Appropriate diagnostic, imaging, endovascular, surgical, and monitoring infrastructure is required, as are resources to maintain quality control. Credentialing and privileging require a combination of both open surgical and endovascular skills. As such, physicians must have hospital privileges to perform carotid endarterectomy. They should attend an appropriate program for education and simulated training in TCAR. In addition, physicians must have performed ?25 endovascular procedures as the primary operator using low-profile rapid-exchange platforms plus ?5 TCAR procedures as the primary operator (pathway 1); or they may have acquired ?25 endovascular procedures as the primary operator using low-profile rapid-exchange platforms and a supplement of 5 TCAR procedures under proctored guidance if they have not performed sufficient TCAR procedures (pathway 2); or a team of two physicians can collaborate, combining the endovascular and surgical requirements plus at least 5 TCAR procedures under proctored guidance (pathway 3).
SponsorsNational Institutes of Health, NIH AG000513, NS097876, U01NS080168; U.S. Department of Veterans Affairs, VA CX001621, RX000995
Identifier to cite or link to this itemhttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85089338031&doi=10.1016%2fj.jvs.2020.05.053&partnerID=40&md5=7ef84665f7ec2099ececa7d254b7541a; http://hdl.handle.net/10713/13570
- The impact of age on in-hospital outcomes after transcarotid artery revascularization, transfemoral carotid artery stenting, and carotid endarterectomy.
- Authors: Dakour-Aridi H, Kashyap VS, Wang GJ, Eldrup-Jorgensen J, Schermerhorn ML, Malas MB
- Issue date: 2020 Sep
- Guidelines for hospital privileges in vascular surgery and endovascular interventions: Recommendations of the Society for Vascular Surgery.
- Authors: Calligaro KD, Amankwah KS, D'Ayala M, Brown OW, Collins PS, Eslami MH, Jain KM, Kassavin DS, Propper B, Sarac TP, Shutze WP, Webb TH
- Issue date: 2018 May
- Transcarotid artery revascularization versus transfemoral carotid artery stenting in the Society for Vascular Surgery Vascular Quality Initiative.
- Authors: Malas MB, Dakour-Aridi H, Wang GJ, Kashyap VS, Motaganahalli RL, Eldrup-Jorgensen J, Cronenwett JL, Schermerhorn ML
- Issue date: 2019 Jan
- Evaluating the optimal training paradigm for transcarotid artery revascularization based on worldwide experience.
- Authors: Lal BK, Cambria R, Moore W, Mayorga-Carlin M, Shutze W, Stout CL, Broussard H, Garrett HE Jr, Nelson W, Titus JM, Macdonald S, Lake R, Sorkin JD
- Issue date: 2021 Sep 22
- The learning curve of transcarotid artery revascularization.
- Authors: King AH, Kumins NH, Foteh MI, Jim J, Apple JM, Kashyap VS
- Issue date: 2019 Aug