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首页> 美国卫生研究院文献>AJNR: American Journal of Neuroradiology >Training Competency and Credentialing Standards for Diagnostic Cervicocerebral Angiography Carotid Stenting and Cerebrovascular Intervention : A Joint Statement from the American Academy of Neurology the American Association of Neurological Surgeons the American Society of Interventional and Therapeutic Neuroradiology the American Society of Neuroradiology the Congress of Neurological Surgeons the AANS/CNS Cerebrovascular Section and the Society of Interventional Radiology
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Training Competency and Credentialing Standards for Diagnostic Cervicocerebral Angiography Carotid Stenting and Cerebrovascular Intervention : A Joint Statement from the American Academy of Neurology the American Association of Neurological Surgeons the American Society of Interventional and Therapeutic Neuroradiology the American Society of Neuroradiology the Congress of Neurological Surgeons the AANS/CNS Cerebrovascular Section and the Society of Interventional Radiology

机译：诊断宫颈癌血管造影颈动脉支架和脑血管介入的培训能力和凭证标准：美国神经内科学院的联合声明美国神经外科医学家美国介入和治疗神经系学会美国神经产物学会神经外科医院AANS / CNS脑血管部分和介入放射学会的大会

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Appropriate and adequate cognitive and technical training, proficiency and experience are essential for the safe performance of procedures that confer significant risk to patient well-being. This principle is the foundation of all medical education and is especially important when considering the cerebral vasculature, for which stroke is a defined risk for every endovascular procedure. Despite recent advances in noninvasive diagnostic neuroimaging, diagnostic cervicocerebral angiography remains the cornerstone and “gold standard” for the evaluation and treatment of patients with cerebrovascular disease (1). In addition to a high level of technical expertise, performance and interpretation of diagnostic cervicocerebral angiography requires in-depth cognitive knowledge of related neurological pathophysiology, neurovascular anatomy and pathology, and an understanding of the full range of neurodiagnostic possibilities. Expert diagnostic cervicocerebral angiography is the foundation for safe and successful cervicocerebral endovascular intervention, including carotid artery angioplasty and stenting for atherosclerosis, interventional stroke therapy, intracranial angioplasty and stenting, and embolization of cerebral aneurysms, epistaxis and vascular malformations. All of these procedures are increasing in volume and complexity with recent technological advances that further mandate the need for adequate cognitive acumen and technical skills. To ensure proper outcomes, formal neuroscience education, adequate procedural training and sufficient experience are all essential for competency in diagnostic cervicocerebral angiography and interventional procedures, including carotid stenting. These concepts have been delineated in training requirements by the Accreditation Council for Graduate Medical Education (ACGME) and by previously published official society statements. The purpose of this document is to define the minimum training and experience necessary to provide adequate quality of patient care for extracranial cerebrovascular interventions, particularly carotid artery stenting. Hospital credentialing is the mechanism by which competence is ensured.
机译：适当和充分的认知和技术培训，熟练和经验对于安全绩效赋予患者福祉风险的程序是至关重要的。这一原则是所有医学教育的基础，在考虑脑脉管系统时尤为重要，其中中风是每种血管内程序的统治风险。尽管近期在非侵入性诊断神经影像动物进展，但诊断宫颈癌血管造影仍然是基石和“黄金标准”，用于评估和治疗脑血管病（1）的患者。除了高水平的技术专业知识外，诊断宫颈癌血管造影的性能和解释还需要深入认知的相关神经病理学病理学，神经血管解剖和病理学，以及对全系列神经发电可能性的理解。专家诊断宫颈血管造影是安全和成功的宫颈癌血管内血管介入的基础，包括颈动脉血管成形术和动脉粥样硬化，介入中风治疗，颅内血管成形术和支架，以及脑动脉瘤的栓塞，外翻和血管畸形。所有这些程序都越来越大，以及最近的技术进步，进一步授权需要足够的认知敏锐和技术技能。为确保正确的结果，正式的神经科学教育，充足的程序培训和充足的经验对于诊断宫颈癌血管造影和介入程序，包括颈动脉支架，这一切至关重要。这些概念在审理医学教育（ACGME）和以前公布的官方社会陈述中已经划算培训要求。本文档的目的是确定为颅外脑血管干预提供足够的患者护理，特别是颈动脉支架提供足够的培训和经验。医院凭证是能力确保的机制。

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