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Postoperative Stroke or Death in Asymptomatic Patients undergoing Carotid Artery Stenting (CAS)

CBE ID
1543
1.4 Project
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
Next Maintenance Cycle
Fall 2024
1.3 Measure Description

Percentage of patients 18 years of age or older without carotid territory neurologic or retinal symptoms within 120 days immediately proceeding carotid angioplasty and stent (CAS) placement who experience stroke or death during their hospitalization for this procedure. This measure is proposed for both hospitals and individual interventionalists. This measure is currently reported by the Vascular Quality Initiative (VQI) Registry.

        • 1.14 Numerator

          Patients over age 18 without preoperative carotid territory neurologic or retinal symptoms within one year of their procedure who experience stroke or death during their hospitalization following elective carotid artery angioplasty and stent placement.

        • 1.15 Denominator

          Patients over age 18 without preoperative carotid territory neurologic or retinal symptoms within one year immediately preceding carotid artery stenting.

        • Exclusions

          Per PQRS Specifications for 2016:

          DENOMINATOR EXCLUSIONS:
          Symptomatic carotid stenosis: Ipsilateral carotid territory TIA or stroke less than 120 days prior to procedure: 9006F
          OR
          Other carotid stenosis: Ipsilateral TIA or stroke 120 days or greater prior to procedure or any prior contralateral carotid territory or vertebrobasilar TIA or stroke: 9007F

        • Most Recent Endorsement Activity
          Endorsed Surgery Project 2015-2017
          Initial Endorsement
          Last Updated
        • Steward
          Society for Vascular Surgery
          Steward Organization POC Email