Best Evidence Webinar: Optimising Outcomes in Persons with Carotid Stenosis: Where are we up to in April 2021?

14 Apr 2021 Best Evidence Webinar: Optimising Outcomes in Persons with Carotid Stenosis: Where are we up to in April 2021?

Professor Anne Abbott is a neurologist from the Central Clinical School at Monash University in Melbourne, Australia. She made the paradigm shifting discovery that the ipsilateral stroke rate associated with advanced (50-99%) asymptomatic carotid stenosis has fallen by at least 65% to approximately 0.8% over the last 3-4 decades with medical intervention alone (lifestyle modification and medication). This stroke rate is lower than with surgery or stenting in past trials. A/Prof Abbott’s work is having a significant impact in updating guidelines, policy and practice for improved stroke prevention in persons with carotid arterial disease. There are also implications for better prevention of all arterial disease complications.

This webinar has already taken place. Scroll down to view a video recording of the event. 

DATE: Wednesday, April 14, 2021

TIME: 14:00 – 15:00 Pacific Standard Time PST [UTC -7 convert to your local time]

CME CREDITS: MainPro+/MOC Section 1 credits: 1.0. You must register, attend the webinar and complete the evaluation in order to receive your certificate.

Learning Objectives:

By the end of this session, participants should be able to:

• understand that medical intervention (lifestyle coaching and appropriate medication) is the most effective weapon we have against arterial disease, that it is highly effective and continues to improve
• understand the various forces at work which encourage inappropriate use of carotid artery procedures (surgery and stenting)
• understand some new ways in which audience members can get involved and help improve patient outcomes on a global scale

Links to Manuscripts Referenced in the Presentation:

• Medical (Nonsurgical) Intervention Alone Is Now Best for Prevention of Stroke Associated With Asymptomatic Severe Carotid Stenosis: Results of a Systematic Review and Analysis
• Bias in the use of randomized trials for carotid stenosis management
• Why Calls for More Routine Carotid Stenting Are Currently Inappropriate: An International, Multispecialty, Expert Review and Position Statement
• Optimizing the Definitions of Stroke, Transient Ischemic Attach, and Infarction for Research and Application in Clinical Practice
• Misconceptions regarding the adequacy of best medical intervention alone for asymptomatic carotid stenosis
• Systematic Review of Guidelines for the Management of Asymptomatic and Symptomatic Carotid Stenosis
• Why the United States Center for Medicare and Medicaid Services (CMS) Should not Extend Reimbursement Indications for Carotid Artery Angioplasty/Stenting