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European Journal of Vascular and Endovascular Surgery
Management of Atherosclerotic Carotid and Vertebral Artery Disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS) Writing Group, A.R. Naylor, J.-B. Ricco, G.J. de Borst, S. Debus, J. de Haro, A. Halliday, G. Hamilton, J. Kakisis, S. Kakkos, S. Lepidi, H.S. Markus, D.J. McCabe, J. Roy, H. Sillesen, J.C. van den Berg, F. Vermassen, ESVS Guidelines Committee, P. Kolh, N. Chakfe, R.J. Hinchliffe, I. Koncar, J.S. Lindholt, M. Vega de Ceniga, F. Verzini, ESVS Guideline Reviewers, J. Archie, S. Bellmunt, A. Chaudhuri, M. Koelemay, A.-K. Lindahl, F. Padberg, M. Venermo European Journal of Vascular and Endovascular Surgery DOI: /j.ejvs Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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Figure 1 Level of evidence.
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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Figure 2 Class of recommendation.
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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Figure 3 ECST and NASCET methods for measuring stenosis severity. Reproduced with permission from Rothwell PM, Eliasziw M, Gutnikov SA, Fox AJ, Taylor DW, Mayberg MR, et al. Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis. Lancet 2003;361:107–16. European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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Figure 4 Forest Plot comparing 30-day death/stroke in four randomised trials comparing carotid endarterectomy and carotid artery stenting in asymptomatic patients. European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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Figure 5 Algorithm detailing management strategies in patients with symptomatic and asymptomatic atherosclerotic extracranial carotid artery stenoses. Green boxes denote Level I recommendations, yellow boxes denote level IIa and IIb recommendations. * “High-risk for CEA” criteria might include clinically significant cardiac disease; severe pulmonary disease; contralateral carotid occlusion; contralateral laryngeal-nerve palsy; previous radical neck surgery, cervical radiation therapy, recurrent stenosis after CEA. ** Imaging/clinical criteria that might confer an increased risk of stroke on BMT include silent infarction on CT, stenosis progression, large plaque area, large JBA, plaque echolucency, intra-plaque haemorrhage on MRI, impaired CVR, spontaneous embolisation on TCD, history of contralateral TIA (Table 5). Fig. 5 reproduced with permission from the 2017 European Society of Cardiology Guidelines on the diagnosis and treatment of peripheral arterial diseases in collaboration with the European Society of Vascular Surgery covering atherosclerotic disease of extracranial, vertebral, mesenteric, renal, upper and lower extremity arteries. Eur J Vasc Endovasc Surg 2017 (in press). European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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European Journal of Vascular and Endovascular Surgery DOI: (10. 1016/j
European Journal of Vascular and Endovascular Surgery DOI: ( /j.ejvs ) Copyright © 2017 European Society for Vascular Surgery Terms and Conditions
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