Do not stent a stenotic renal artery unless there is refractory hypertension or declining renal function.
Renal artery stenting requires excellent expertise because it may cause rupture, dissection or thrombosis of the artery. Furthermore, there is no difference between best medical treatment and stenting, according to recent studies.
Don’t promote the culture of “informed consent” as a mere bureaucratic and professional self-help tool.
Medical-surgical procedures are subject to the consent of the person to whom the act is intended. Prior information to the acquisition of consent must be provided in a clear and comprehensible way and it’s the doctor’s duty to ensure that the person has acquired...
Do not perform open or endovascular treatment of lower limb lesions unless there is disabling claudication, critical limb ischemia or diabetic foot.
Treating a stenotic or occluded artery of the lower limbs that does not cause symptoms is inappropriate. There is no evidence that such a treatment would improve the evolution of the disease. Any treatment may expose the patient to the risk of relapse, often with a...
Do not request a Duplex scan of the carotid arteries for vertigo, tinnitus, headache, neck pain, unless there are neurologic signs.
Symptoms of cerebrovascular insufficiency are often confused with those of other diseases. Furthermore, the term Transient Ischemic Attack (TIA) is often used inappropriately. It should be reserved only for a sudden, focal neurologic attack lasting less than 24 hours,...The campaign DOING MORE DOES NOT MEAN DOING BETTER – CHOOSING WISELY ITALY is promoted by Italy’s Slow Medicine
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