Table V.

Carotid stenting credentialing recommendations from professional organizations (summary)

Organization	Previous experience	Procedural experience
Society of Interventional Radiology (SIR), American Society of Interventional and Therapeutic Neuroradiology (ASITN), and American Society of Neuroradiology (ASNR)	200 cervicocerebral angiograms performed under the supervision of a qualified physician and with at least 50% performed as the primary operator, or at least 100 diagnostic angiograms	25 non-carotid stent procedures, plus completion of a “hands-on” course in performance of CAS, plus performance and completion of at least 4 successful CAS procedures as principal operator under the supervision of an on-site qualified physician; or 10 CAS procedures as principal operator under the supervision of an on-site qualified physician.
Society for Vascular Surgery (SVS)	50 patients with carotid disease as the primary physician; 30 diagnostic cerebrovascular angiograms with 15 as a supervised primary operator	25 supervised CAS, at least half as primary operator
Society for Vascular Medicine and Biology (SVMB), Society for Cardiovascular Angiography and Interventions (SCAI), SVS, and American College of Cardiology (ACC)	Residency or fellowship training program in conjunction with peripheral angioplasty training that will include carotid training; or postgraduate training to perform carotid stenting. 30 angiograms, half as primary operator, in a supervised setting.	A minimum of 25 CAS procedures (half as primary operator)
Neurovascular coalition including American Academy of Neurology (AAN), AANS, ASITN, ASNR, Congress of Neurological Surgeons (CNS), AANS/CNS Cerebrovascular Section, and SIR	100 supervised cervicocerebral angiograms	The principles of training and quality assurance stated in the multisociety Quality Improvement Guidelines for the Performance of Cervical Carotid Angioplasty and Stent Placement

CAS, Carotid artery stenting.