A Comparative Analysis of Outcomes After Carotid Artery Stenting in the Vascular Quality Initiative Versus Medicare Using the Vascular Quality Initiative–Medicare-Matched Dataset

Abstract

Current evidence suggests a lower risk of perioperative stroke or death after transcarotid artery revascularization (TCAR) compared with transfemoral carotid artery stenting (tfCAS); however, data on longer term outcomes are limited. Clinical registries linked with administrative data such as Medicare offer opportunities for the assessment of long-term outcomes. We used the Vascular Quality Initiative (VQI)–Medicare-matched dataset to compare the postoperative outcomes identified in the VQI vs Medicare for patients who underwent TCAR or tfCAS.