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June 22, 2020

SVS Issues Clinical Competence Statement on Training and Credentialing for TCAR

June 22, 2020—The Society for Vascular Surgery (SVS) announced the publication of a clinical competence statement on training and credentialing for transcarotid artery revascularization (TCAR) by Brajesh K. Lal, MD, et al online ahead of print in Journal of Vascular Surgery.

According to SVS, the clinical competence statement is intended to ensure that patients who are at risk of a stroke receive safe and effective preventative care with this new and promising technology by an experienced and appropriately trained physician.

The SVS writing group, chaired by Dr. Lal, considered the knowledge and skill set necessary to perform TCAR, both in instances of no or minimal TCAR experience and when a physician has had significant TCAR experience. Additionally, they considered specific instances when the required skills are provided by a team of physicians rather than an individual.

The statement proposes three credentialing pathways, including requirements for education, experience with carotid endarterectomy and percutaneous arterial interventions, TCAR training, and initial case proctoring, as well as requirements for tracking results after TCAR as a quality assurance measure.

“The introduction of new techniques and technology in medicine must be accompanied by careful consideration of the new cognitive and technical skills that we will need to perform the procedure safely,” commented Dr. Lal in the SVS announcement. “This document aims to provide that guidance to individual physicians and hospital credentialing committees.”

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