Get the free Carotid Artery Stenting Form v1.09 - NCDR

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VASCULAR CONSULTATION NAME: date: CC: carotid aorta lower ext other HP dm Han CVA (4) cool me Tia angina pain severity 1 2 3 precipitating factors relieving factors duration associated signs/symptoms

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How to fill out carotid artery stenting form

01

Step 1: Gather all necessary information and documentation such as patient's medical history, imaging reports, and relevant lab results.

02

Step 2: Fill out the patient's personal information accurately, including their name, date of birth, and contact details.

03

Step 3: Provide details about the procedure, including the date it was performed and the name of the physician who performed it.

04

Step 4: Document any complications or adverse events that occurred during or after the stenting procedure.

05

Step 5: Include information about the type of stent used, its dimensions, and any specific characteristics.

06

Step 6: Record the patient's vital signs, such as blood pressure and heart rate, before and after the procedure.

07

Step 7: Describe any pre-existing conditions or comorbidities that may affect the patient's eligibility for carotid artery stenting.

08

Step 8: Ensure that all the necessary signatures and authorizations are obtained from the patient or their legal guardian.

09

Step 9: Review the completed form for accuracy and completeness before submission.

10

Step 10: File the form in the patient's medical records and make a copy for the referring physician, if required.

Who needs carotid artery stenting form?

01

Individuals who have been diagnosed with significant carotid artery stenosis, which refers to the narrowing of the carotid arteries, may require carotid artery stenting.

02

Patients who have had transient ischemic attacks (TIAs) or strokes due to carotid artery disease may also need this procedure.

03

Certain high-risk individuals with carotid artery plaques that are likely to cause future strokes may be recommended for carotid artery stenting.

04

The decision to undergo carotid artery stenting should be made by a qualified healthcare professional in consultation with the patient based on their specific medical condition and risks.

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What is carotid artery stenting form?

Carotid artery stenting form is a medical procedure used to treat carotid artery disease by inserting a stent to open the blocked artery.

Who is required to file carotid artery stenting form?

The healthcare provider performing the carotid artery stenting procedure is required to file the form.

How to fill out carotid artery stenting form?

The form should be filled out with details of the patient, procedure, stent used, and any complications that occurred.

What is the purpose of carotid artery stenting form?

The purpose of the form is to document the details of the carotid artery stenting procedure for medical and legal purposes.

What information must be reported on carotid artery stenting form?

Information such as patient's name, procedure date, stent type, complications, and follow-up care must be reported on the form.

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