Comparison of the five 2011 guidelines for the treatment of carotid stenosis

J Vasc Surg. 2012 May;55(5):1504-8. doi: 10.1016/j.jvs.2012.01.084.


In 2011, five independent, international guideline committees reported their recommendations for the management of symptomatic and asymptomatic carotid artery stenosis. These included the American College of Cardiology/American Heart Association, the Society for Vascular Surgery, the European Society of Cardiology, the Australasian, and the UK National Institute of Health and Clinical Excellence. As the recommendations of these five guideline committees were based on the same published literature, it would be expected that they are similar, at least to a large extent. Surprisingly, there were considerable differences between the five guidelines regarding the management of both symptomatic and asymptomatic carotid patients. The differences in the recommendations between the five Guideline Committees are analyzed and discussed.

Publication types

  • Comparative Study

MeSH terms

  • Angioplasty / adverse effects
  • Angioplasty / instrumentation
  • Angioplasty / standards*
  • Asymptomatic Diseases
  • Carotid Stenosis / complications
  • Carotid Stenosis / surgery
  • Carotid Stenosis / therapy*
  • Endarterectomy, Carotid / adverse effects
  • Endarterectomy, Carotid / standards*
  • Evidence-Based Medicine / standards
  • Humans
  • Patient Selection
  • Practice Guidelines as Topic / standards*
  • Risk Assessment
  • Societies, Medical / standards
  • Stents / standards
  • Treatment Outcome