Updating guidelines published by the European society of vascular surgery

摘要

In this issue of the European Journal of Vascular and Endovascu-lar Surgery, (EJVES) John Kakisis et al. present a re-appraisal of the 2009 European Society of Vascular Surgery (ESVS) Guidelines on the management of patients with carotid disease. The rationale was that the ESVS Recommendations on the role of carotid artery stenting (CAS) were markedly different to the American Heart Association (AHA) and 14-Society Guidelines published in 2011, raising the important question as to whether the ESVS Guidelines required updating. However, having performed a systematic review of the contemporary literature, Kakisis concluded that the 2009 ESVS Guidelines "not only remain valid but have been further strengthened by the latest available clinical data". At first sight, this is at variance with the AHA and 14-Society Guidelines, but anyone who reads the 2009 ESVS Guidelines will see that caveats were included that did support the use of CAS in selected patients.