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To the Editor:We read with great interest the recent Letter to Editor1 raising questions on the First Consensus Document of the ICSS-SPREAD Joint Committee on Carotid Artery Stenting,2 and we were very surprised by these comments.Many of these concerns start from a totally different point of view, ie, the “ simplicity” of CAS (as stated in line 8). First of all, we have never considered CAS an easy procedure and we have never focused on the procedure , but …

The First Consensus Document of ICCS-SPREAD Joint Committee on Carotid Artery Stenting Was Not Premature But Prophetic