This month’s journal-based CME article is titled "CAS and CEA, a challenge for urgent treatment after stroke. Early and 12-month outcome in an experienced center".
Current guidelines for stroke management have not established a clear appropriateness of emergent or urgent CEA or CAS treatment for stroke. In addition, the guidelines indicate the need for carotid revascularization within two-week post-stroke in the absence of contraindications. In this study, the authors aim to compare the feasibility (efficacy, safety, and practicability), periprocedural risks and 12-months outcome of early treatment with CAS versus CEA in patients admitted for an acute TIA or stroke, including major stroke, attributable to an extracranial carotid artery stenosis.
This program is designed to meet the educational needs of interventional radiologists, neurointerventional radiology, neurosurgeons, neurologists, vascular surgeons, vascular medicine, nurses, techs, and trainees at all levels with special interests in stroke.
To receive CME credit for this journal-based CME activity, participants must read the journal article and score 75% or better on the post test. Participants will have three opportunities to score 75% or better.
After participating in this journal-based CME activity, learners should be able to
List the incidence of stroke related death within 12 months in patients treated with CAS vs. CEA.
Provide the suggested time interval for carotid revascularization in patients presenting with TIA in the absence of contraindications.
Discuss the risks of peri- and post-procedural complications in patients treated with CAS vs. CEA, with specific attention to patients with NIHSS > 4.
JVIR CME Editor
Nishita Kothary, MD
Stanford University Medical Center, Stanford CA
Alessandro Rocco, MD
Fabrizio Sallustio, MD
Barbara Rizzato, MD
Jacopo Legramante, MD
Arnaldo Ippoliti, MD
Andrea Acoli Marchetti, MD
Enrico Pampana, MD
Marina Diomedi, MD
Department of Neuroscience, University of Rome Tor Vergata, Viale Oxford, Italy
This activity has been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME).
The Society of Interventional Radiology (SIR) is accredited by the ACCME to provide continuing medical education for physicians. SIR designates this education activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This program is approved for 1 self-assessment CME credit (SA-CME) by the Society of Interventional Radiology (SIR) - approved August 1, 2018. SIR is awarded Deemed Status by the American Board of Radiology (ABR). The SA-CME credit offered for this enduring activity meets the ABR’s criteria for self-assessment toward the purpose of fulfilling requirements in the ABR Maintenance of Certification (MOC) Program.