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Published on: January 18, 2018

The Carotid Artery Revascularization and Endarterectomy (CARE) registry: objectives, design, and implications

Christopher J White1, H Vernon Anderson, Ralph G Brindis

  • 1Department of Cardiology, Ochsner Clinic Foundation, New Orleans, Louisiana, USA. cwhite@ochsner.org

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
|April 17, 2008
PubMed

Insights

The CARE Registry is the first national data source for carotid endarterectomy (CEA) and carotid artery stenting (CAS) outcomes. It aims to improve stroke prevention quality for patients with carotid artery disease.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Interventions
  • Health Services Research

Background:

  • Carotid endarterectomy (CEA) is the standard stroke prevention therapy for carotid artery disease.
  • Carotid artery stenting (CAS) offers a less invasive alternative for select patients.
  • Increasing CAS use necessitates national quality outcome assessment.

Purpose of the Study:

  • Establish the first comprehensive national registry for carotid revascularization procedures.
  • Characterize contemporary results of CEA and CAS.
  • Provide data for quality improvement initiatives in carotid artery disease management.

Main Methods:

  • Development of the Carotid Artery Revascularization and Endarterectomy (CARE) Registry through multispecialty collaboration.
  • Creation of a comprehensive data collection tool for carotid revascularization.
  • Collection and analysis of clinical data on patient outcomes and practice patterns.

Main Results:

  • The CARE Registry provides a national platform for evaluating CEA and CAS outcomes.
  • Data collection supports quality measurement and improvement in carotid revascularization.
  • Registry meets Center for Medicare and Medicaid Services (CMS) reporting requirements for reimbursement.

Conclusions:

  • The CARE Registry is essential for understanding and improving the quality of stroke prevention via CEA and CAS.
  • Multispecialty collaboration ensures comprehensive data for clinical practice assessment.
  • The registry supports evidence-based decision-making and quality benchmarking in vascular care.

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