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- W2791966721 abstract "To ascertain differences in carotid artery stenting (CAS) practice between IAC accredited and non-accredited facilities. An electronic survey was sent to 264 CAS facilities from a random sample of Centers for Medicare and Medicaid Services (CMS) certified facilities (N = 152), all CREST-2 participating facilities (N = 106), and all currently accredited IAC facilities (N = 6). The survey consisted of 16 measures of a CAS procedure considered to be best practice. The percentage of facilities following each measure was calculated. The number of measures per facility was summed and averaged to create an overall score. A total of 40 responses (17%) were received. Significant differences were found between the 3 groups for 5 of 16 measures: performing MRS prior to stenting (p = .01), accurately measuring percent stenosis using electronic calipers (p = .01), assessing patients for stroke and death at 30-day follow-up (p = .03), comparing outcomes to accepted benchmarks (p = .03) and participating in registries (p = .01). Overall, IAC facilities employed more of best practices (97% ± 5%) followed by CREST-2 facilities (73% ± 18%) and CMS facilities (66% ± 24%) (p = .02). This study shows significant differences between IAC, CREST-2 and CMS facilities. Many CMS certified sites fail to perform essential best practices such as measuring stroke and death which are critical to determining satisfactory patient outcomes of CAS procedures.Tabled 1MeasureCMS, % (n = 22)CREST-2, % (n = 12)IAC, % (n = 6)TotalP ValueNIHSS prior77.380.010081.1.32MRS prior36.460.010051.4.01DSA prior77.350.080.070.3.28% Stenosis electronic caliper31.840.010043.2.01ACT > 250 sec54.570.010064.9.06Tx antiplatelet dual regimen81.880.080.081.1.99Measure NASCET68.280.010075.7.17Embolic device90.990.010091.9.63DSA post72.740.080.064.9.16NIHSS 24 hr post77.380.010081.1.3230-day f/u NIHSS82.483.310085.7.3630-day f/u MRS82.491.710088.6.3430-day outcomes stroke and death72.710010083.8.03∼30-day noninvasive study59.160.010064.9.09Benchmark stroke d death50.040.010054.1.03Participate in registries63.610010080.0.01Overall (mean)66.072.996.572.0.02 Open table in a new tab" @default.
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- W2791966721 date "2018-04-01" @default.
- W2791966721 modified "2023-09-25" @default.
- W2791966721 title "3:54 PM Abstract No. 77 A snapshot of carotid artery stenting current practice: Intersocietal Accreditation Commission (IAC)–accredited facilities vs. non-accredited facilities" @default.
- W2791966721 doi "https://doi.org/10.1016/j.jvir.2018.01.089" @default.
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