Credentialing in Carotid Angiography and Carotid Angioplasty/Stenting: Experience of Mayo Clinic Rochester

Carotid angioplasty and stenting is an evolving technique in the treatment of patients with carotid occlusive disease who are at increased risk for carotid endarterectomy. The literature has largely focused on the short and long-term results of this novel procedure. Due to the involvement of multiple disciplines, all of whom have legitimate claims to the carotid territory, credentialing has been a contentious issue at the local hospital level. This article describes the experience of Mayo Clinic Rochester in developing, in a multi-disciplinary manner, documents for credentialing in carotid angiography, carotid intervention, and guidelines for the use of this novel procedure.