{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:53:13Z","timestamp":1777942393786,"version":"3.51.4"},"reference-count":36,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2010,11,21]],"date-time":"2010-11-21T00:00:00Z","timestamp":1290297600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:p>Introduction: Ambiguity in the literature concerning potential benefits of carotid artery stenting (CAS) as an alternative to carotid endarterectomy (CEA) necessitated a 5-year Delphi-type survey, gauging the changing views over this period of relevant experts undertaking carotid intervention. Methods: Delphi surveys performed in 2004 and 2009 involved 2 rounds of questions combined with feedback of results from the first round between them. The questionnaire was e-mailed to UK vascular surgeons, neurosurgeons, interventional radiologists, and cardiologists. Results: In 2004 and 2009, the second round response rates were 69% and 51%, respectively. Over 5 years, there was a statistically significant reduction in support for \u2018\u2018general anesthesia risk\u2019\u2019 and \u2018\u2018contralateral occlusion\u2019\u2019 as indications for CAS and views that CAS \u2018\u2018increased patient satisfaction\u2019\u2019 and \u2018\u2018decreased the length of hospital stay.\u2019\u2019 Concerning the impact of recent trials on the professionals\u2019 treatment routines for symptomatic and asymptomatic patients with carotid disease, 65.8% and 76.3%, respectively, had not changed their overwhelming non-CAS routines, with 32.9% and 19.7% saying clinical trial results moved them toward CEA. Conclusions: A 2009 survey of vascular experts found no increase in preference for CAS as a treatment option for advanced carotid bifurcation atherosclerosis. This, in combination with the lack of change from and indeed move toward the \u2018\u2018gold-standard\u2019\u2019 CEA, demonstrates a general decline in confidence with CAS.<\/jats:p>","DOI":"10.1177\/1538574410379657","type":"journal-article","created":{"date-parts":[[2010,11,22]],"date-time":"2010-11-22T20:51:12Z","timestamp":1290459072000},"page":"15-21","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Role of Endarterectomy and Stenting in the Management of Carotid Artery Stenosis: A 5-Year Delphi Survey"],"prefix":"10.1177","volume":"45","author":[{"given":"Zeeshan","family":"Malik","sequence":"first","affiliation":[{"name":"Imperial Vascular Unit, Imperial College London, Department of Vascular Surgery, Charing Cross Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Shalhoub","sequence":"additional","affiliation":[{"name":"Imperial Vascular Unit, Imperial College London, Department of Vascular Surgery, Charing Cross Hospital, London, UK,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Hettige","sequence":"additional","affiliation":[{"name":"Imperial Vascular Unit, Imperial College London, Department of Vascular Surgery, Charing Cross Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alun H","family":"Davies","sequence":"additional","affiliation":[{"name":"Imperial Vascular Unit, Imperial College London, Department of Vascular Surgery, Charing Cross Hospital, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2010,11,21]]},"reference":[{"key":"atypb1","unstructured":"http:\/\/www.nhs.uk\/Conditions\/Stroke\/Pages\/Introduction.aspx. 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