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dc.contributor.authorLal, B.K.
dc.contributor.authorJordan, W.
dc.contributor.authorKashyap, V.S.
dc.contributor.authorKwolek, C.J.
dc.contributor.authorMoore, W.S.
dc.contributor.authorMukherjee, D.
dc.contributor.authorSchermerhorn, M.L.
dc.date.accessioned2020-08-21T15:58:11Z
dc.date.available2020-08-21T15:58:11Z
dc.date.issued2020
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85089338031&doi=10.1016%2fj.jvs.2020.05.053&partnerID=40&md5=7ef84665f7ec2099ececa7d254b7541a
dc.identifier.urihttp://hdl.handle.net/10713/13570
dc.description.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).en_US
dc.description.sponsorshipNational Institutes of Health, NIH AG000513, NS097876, U01NS080168; U.S. Department of Veterans Affairs, VA CX001621, RX000995en_US
dc.description.urihttps://doi.org/10.1016/j.jvs.2020.05.053en_US
dc.language.isoen_USen_US
dc.publisherMosby Inc.en_US
dc.relation.ispartofJournal of Vascular Surgery
dc.subjectCarotiden_US
dc.subjectCredentialingen_US
dc.subjectEndarterectomyen_US
dc.subjectStenten_US
dc.subjectTrainingen_US
dc.subjectTranscarotid revascularizationen_US
dc.titleClinical competence statement of the Society for Vascular Surgery on training and credentialing for transcarotid artery revascularizationen_US
dc.typeArticleen_US
dc.identifier.doi10.1016/j.jvs.2020.05.053
dc.identifier.pmid32569715


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