Evolution of the Treatment of Carotid Atherosclerosis: An Update

Evolution of the Treatment of Carotid Atherosclerosis: An Update

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Course Overview

Carotid artery disease, a significant cause of stroke, was linked to embolization in the 1950s. Early treatment methods like carotid endarterectomy reduced stroke risk, but recent studies show that intensive medical management now rivals surgery. Stenting with emboli protection is effective for high-risk patients, and new technologies like TCAR and advanced imaging continue to evolve treatment options for carotid stenosis.

Objectives

After completing this activity, the participant will:

  • Describe the pathophysiology of carotid disease and the evolution of its treatment.

  • Understand the clinical indications for carotid intervention and appropriate diagnostic testing.

  • Know the key differences between stenting and endarterectomy for treatment of carotid stenosis.

  • Know results of clinical trials on which current clinical management is based.

  • Apply current approaches to improving therapy.

Target Audience

  • Physicians, sonographers, and others who perform and/or interpret ultrasound.

Faculty & Disclosure

Faculty

Ted Kohler, MD

Professor Emeritus, University of Washington

Department of Surgery

Seattle, Washington

Disclosure

In compliance with the Essentials and Standards of the ACCME, the author of this CME tutorial is required to disclose any significant financial or other relationships they may have with commercial interests. Ted Kohler MD discloses no such relationships exist. No one at IAME who had control over the planning or content of this activity has relationships with commercial interests.

In compliance with the Essentials and Standards of the ACCME, the author of this CME tutorial is required to disclose any significant financial or other relationships they may have with commercial interests.

IAME has assessed conflict of interest with its faculty, authors, editors, and any individuals who were in a position to control the content of this CME activity. Any identified relevant conflicts of interest have been mitigated. IAME's planners, content reviewers, and editorial staff disclose no relationships with ineligible entities.

Credits

2
AMA PRA Category 1™ Credits

* AMA PRA Category 1™ credits are used by physicians and other groups like PAs and certain nurses. Category 1 credits are accepted by the ARDMS, CCI, ACCME, and Sonography Canada.

Course Details

Duration2 hours
ReleasedMar 18, 2019
Last ReviewDec 9, 2024
ExpiresDec 8, 2027

Accreditation

The Institute for Advanced Medical Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Institute for Advanced Medical Education designates this enduring material for a maximum of 2 AMA PRA Category 1 Credit™s. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Sonographers: These credits are accepted by the American Registry for Diagnostic Medical Sonography (ARDMS), Sonography Canada, Cardiovascular Credentialing International (CCI), and most other organizations.

Course Content