{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T18:29:40Z","timestamp":1777400980771,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Angiology"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:p>Despite the publication of several national\/international guidelines, the optimal management of patients with asymptomatic carotid stenosis (AsxCS) remains controversial. This article compares 3 recently released guidelines (the 2020 German\u2013Austrian, the 2021 European Stroke Organization [ESO], and the 2021 Society for Vascular Surgery [SVS] guidelines) vs the 2017 European Society for Vascular Surgery (ESVS) guidelines regarding the optimal management of AsxCS patients.<\/jats:p>\n                  <jats:p>The 2017 ESVS guidelines defined specific imaging\/clinical parameters that may identify patient subgroups at high future stroke risk and recommended that carotid endarterectomy (CEA) should or carotid artery stenting (CAS) may be considered for these individuals. The 2020 German\u2013Austrian guidelines provided similar recommendations with the 2017 ESVS Guidelines. The 2021 ESO Guidelines also recommended CEA for AsxCS patients at high risk for stroke on best medical treatment (BMT), but recommended against routine use of CAS in these patients. Finally, the SVS guidelines provided a strong recommendation for CEA+BMT vs BMT alone for low-surgical risk patients with &gt;70% AsxCS. Thus, the ESVS, German\u2013Austrian, and ESO guidelines concurred that all AsxCS patients should receive risk factor modification and BMT, but CEA should or CAS may also be considered for certain AsxCS patient subgroups at high risk for future ipsilateral ischemic stroke.<\/jats:p>","DOI":"10.1177\/00033197221081914","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T12:57:44Z","timestamp":1649768264000},"page":"903-910","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Comparison of Recent Practice Guidelines for the Management of Patients With Asymptomatic Carotid Stenosis"],"prefix":"10.1177","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6865-2919","authenticated-orcid":false,"given":"Kosmas I.","family":"Paraskevas","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Central Clinic of Athens, Athens, Greece"}]},{"given":"Dimitri P.","family":"Mikhailidis","sequence":"additional","affiliation":[{"name":"Department of Clinical Biochemistry, Royal Free Hospital Campus, University College London Medical School, University College London (UCL), London, UK"}]},{"given":"Pier Luigi","family":"Antignani","sequence":"additional","affiliation":[{"name":"Vascular Centre, Nuova Villa Claudia, Rome, Italy"}]},{"given":"Enrico","family":"Ascher","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Vascular Institute of New York, Brooklyn, NY, USA"}]},{"given":"Hediyeh","family":"Baradaran","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Utah, Salt Lake City, UT, USA"}]},{"given":"Reinoud P.H.","family":"Bokkers","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical Imaging Center, University Medical Center Groningen, Groningen, The Netherlands"}]},{"given":"Richard P.","family":"Cambria","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, St Elizabeth\u2019s Medical Center, Boston, MA, USA"}]},{"given":"Anthony J.","family":"Comerota","sequence":"additional","affiliation":[{"name":"Inova Heart and Vascular Institute, Inova Alexandria Hospital, Alexandria, VA, USA"}]},{"given":"Alan","family":"Dardik","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Yale University School of Medicine, New Haven, CT, USA"}]},{"given":"Alun H.","family":"Davies","sequence":"additional","affiliation":[{"name":"Section of Vascular Surgery, Imperial College and Imperial Healthcare NHS Trust, London, UK"}]},{"given":"Hans-Henning","family":"Eckstein","sequence":"additional","affiliation":[{"name":"Department for Vascular and Endovascular Surgery, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany"}]},{"given":"Gianluca","family":"Faggioli","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Bologna \u201cAlma Mater Studiorum\u201d, Policlinico S. Orsola Malpighi, Bologna, Italy"}]},{"given":"Jose","family":"Fernandes e Fernandes","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University of Lisbon, Lisbon Academic Medical Center, Lisbon, Portugal"}]},{"given":"Gustav","family":"Fraedrich","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Medical University of Innsbruck, Innsbruck, Austria"}]},{"given":"George","family":"Geroulakos","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, \u201cAttikon\u201d University Hospital, National and Kapodistrian University of Athens, Athens, Greece"}]},{"given":"Peter","family":"Gloviczki","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA"}]},{"given":"Jonathan","family":"Golledge","sequence":"additional","affiliation":[{"name":"Queensland Research Centre for Peripheral Vascular Disease, James Cook University and Townsville University Hospital, Townsville, Queensland, Australia"}]},{"given":"Ajay","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Radiology, Weill Cornell Medicine, New York, NY, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5317-0148","authenticated-orcid":false,"given":"Mateja K.","family":"Jezovnik","sequence":"additional","affiliation":[{"name":"Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Centre at Houston, Houston, TX, U.S.A."}]},{"given":"Stavros K.","family":"Kakkos","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University of Patras Medical School, Patras, Greece"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0894-2644","authenticated-orcid":false,"given":"Niki","family":"Katsiki","sequence":"additional","affiliation":[{"name":"First Department of Internal Medicine, AHEPA University Hospital, Thessaloniki, Greece"}]},{"given":"Michael","family":"Knoflach","sequence":"additional","affiliation":[{"name":"Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria"}]},{"given":"M.","family":"Eline Kooi","sequence":"additional","affiliation":[{"name":"CARIM School for Cardiovascular Disease, Maastricht University, Maaastricht, The Netherlands"},{"name":"Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands"}]},{"given":"Gaetano","family":"Lanza","sequence":"additional","affiliation":[{"name":"Vascular Surgery Department, IRCSS MultiMedica Hospital, Castellanza, Italy"}]},{"suffix":"Jr.","given":"George S.","family":"Lavenson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Uniformed Services University, Bethesda, MD, USA"}]},{"given":"Christos D.","family":"Liapis","sequence":"additional","affiliation":[{"name":"Athens Vascular Research Center, Athens, Greece"}]},{"given":"Ian M.","family":"Loftus","sequence":"additional","affiliation":[{"name":"St George\u2019s Vascular Institute, St George\u2019s University London, London, UK"}]},{"given":"Armando","family":"Mansilha","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of the University of Porto, Porto, Portugal"},{"name":"Department of Angiology and Vascular Surgery, Hospital de S. Joao, Porto, Portugal"}]},{"given":"Antoine","family":"Millon","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Louis Pradel Hospital, Hospices Civils de Lyon, France"}]},{"given":"Andrew N.","family":"Nicolaides","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Nicosia Medical School, Nicosia, Cyprus"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6459-1135","authenticated-orcid":false,"given":"Rodolfo","family":"Pini","sequence":"additional","affiliation":[{"name":"Vascular Surgery, University of Bologna \u201cAlma Mater Studiorum\u201d, Policlinico S. Orsola Malpighi, Bologna, Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9913-1419","authenticated-orcid":false,"given":"Pavel","family":"Poredos","sequence":"additional","affiliation":[{"name":"Department of Vascular Disease, University Medical Centre Ljubljana, Slovenia"}]},{"given":"Robert M.","family":"Proczka","sequence":"additional","affiliation":[{"name":"1stDepartment of Vascular Surgery, Medicover Hospital, Warsaw, Poland"}]},{"given":"Jean-Baptiste","family":"Ricco","sequence":"additional","affiliation":[{"name":"Department of Clinical Research, University of Poitiers, CHU de Poitiers, Poitiers, France"}]},{"given":"Thomas S.","family":"Riles","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Vascular Surgery, New York University Langone Medical Centre, New York, NY, USA"}]},{"given":"Peter Arthur","family":"Ringleb","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital Heidelberg, Germany"}]},{"given":"Tatjana","family":"Rundek","sequence":"additional","affiliation":[{"name":"Department of Neurology, Miller School of Medicine, University of Miami, Miami, FL, USA"}]},{"given":"Luca","family":"Saba","sequence":"additional","affiliation":[{"name":"Department of Radiology, Azienda Ospedaliera Universitaria Di Cagliari, Cagliari, Italy"}]},{"given":"Felix","family":"Schlachetzki","sequence":"additional","affiliation":[{"name":"Department of Neurology, University of Regensburg, Regensburg, Germany"}]},{"given":"Mauro","family":"Silvestrini","sequence":"additional","affiliation":[{"name":"Neurological Clinic, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Ancona, Italy"}]},{"given":"Francesco","family":"Spinelli","sequence":"additional","affiliation":[{"name":"Vascular Surgery Division, Campus Bio-Medico University of Rome, Rome, Italy"}]},{"given":"Francesco","family":"Stilo","sequence":"additional","affiliation":[{"name":"Vascular Surgery Division, Campus Bio-Medico University of Rome, Rome, Italy"}]},{"given":"Sherif","family":"Sultan","sequence":"additional","affiliation":[{"name":"Western Vascular Institute, Department of Vascular and Endovascular Surgery, University Hospital Galway, National University of Ireland, Galway, Ireland"}]},{"given":"Jasjit S.","family":"Suri","sequence":"additional","affiliation":[{"name":"Stroke Diagnosis and Monitoring Division, AtheroPointTM, Roseville, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8652-8778","authenticated-orcid":false,"given":"Alexei V.","family":"Svetlikov","sequence":"additional","affiliation":[{"name":"Division of Vascular and Endovascular Surgery, North-Western Scientific Clinical Center of Federal Medical Biological Agency of Russia, St Petersburgh, Russia"}]},{"given":"Clark J.","family":"Zeebregts","sequence":"additional","affiliation":[{"name":"Division of Vascular Surgery, Department of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands"}]},{"given":"Seemant","family":"Chaturvedi","sequence":"additional","affiliation":[{"name":"Department of Neurology & Stroke Program, University of Maryland School of Medicine, Baltimore, MD, USA"}]}],"member":"179","published-online":{"date-parts":[[2022,4,12]]},"reference":[{"key":"bibr1-00033197221081914","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstroke.cerebrovasdis.2021.106182"},{"key":"bibr2-00033197221081914","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.115.003390"},{"key":"bibr3-00033197221081914","doi-asserted-by":"publisher","DOI":"10.1177\/0003319715624526"},{"key":"bibr4-00033197221081914","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab484"},{"key":"bibr5-00033197221081914","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2011.07.031"},{"key":"bibr6-00033197221081914","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2017.06.021"},{"key":"bibr7-00033197221081914","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2020.07.049"},{"key":"bibr8-00033197221081914","doi-asserted-by":"publisher","DOI":"10.5853\/jos.2020.04273"},{"key":"bibr9-00033197221081914","first-page":"801","volume":"117","author":"Eckstein 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