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

CBE ID
1543
Project
Endorsed
New or Maintenance
Endorsement and Maintenance (E&M) Cycle
Is Under Review
No
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.

  • Measure Type
    Electronic Clinical Quality Measure (eCQM)
    Level Of Analysis
    Care Setting
    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.

    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

    Testing Data Sources
  • Most Recent Endorsement Activity
    Endorsed Surgery Project 2015-2017
    Initial Endorsement
    Next Planned Maintenance Review
    Surgery Fall 2024
    Endorsement Status
    Last Updated