Improving results for carotid artery stenting by validation of the anatomic scoring system for carotid artery stenting with patient-specific simulated.

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Improving results for carotid artery stenting by validation of the anatomic scoring system for carotid artery stenting with patient-specific simulated rehearsal Willem I.M. Willaert, MD, PhD, Nicholas J. Cheshire, MD, FRCS, Rajesh Aggarwal, MD, PhD, FRCS, Isabelle Van Herzeele, MD, PhD, Gerard Stansby, FRCS, MD, Sumaira Macdonald, FRCP, FRCR, PhD, Frank E. Vermassen, MD, PhD Journal of Vascular Surgery Volume 56, Issue 6, Pages 1763-1770 (December 2012) DOI: 10.1016/j.jvs.2012.03.257 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 A, The scoring system for anatomic suitability for carotid artery stenting (CAS). B, Patient-specific cases selected according to this scoring system are classified as (left) green, (middle) amber, and (right) red. CCA, Common carotid artery; ECA, external carotid artery; ICA, internal carotid artery. Journal of Vascular Surgery 2012 56, 1763-1770DOI: (10.1016/j.jvs.2012.03.257) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Outcomes of carotid artery stenting (CAS) on the virtual reality simulator are shown. A, Procedure time (left) and fluoroscopy time (right) for each case. B, Contrast use (left) and number of angiographies (right) for each case. C, Qualitative performance of each case, as measured by the Global Rating Scale (GRS) (left) and Procedure Specific Rating Scale (PSRS) (right). The horizontal line in the middle of each box indicates the median; the top and bottom borders of the box mark the 75th and 25th percentiles, respectively, and the whiskers mark the 90th and 10th percentiles; the black circles indicate outliers; and the dotted lines in C represent arbitrary level of competent performance. Journal of Vascular Surgery 2012 56, 1763-1770DOI: (10.1016/j.jvs.2012.03.257) Copyright © 2012 Society for Vascular Surgery Terms and Conditions