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. 2022 Nov 11;4(Suppl 1):e000113. doi: 10.1136/bmjsit-2021-000113
Identified Common Data Elements
Patient characteristics (13) Age at procedure characteristics Weight (kg)
Gender Living Status
Race Zip/Postal Code
Primary Insurer Ambulatory Status
Height (inches) Smoking
Height (cm) Quit Smoking Date
Weight (lbs)
Medical History (14) Chronic obstructive pulmonary disease Prior Coronary Artery Bypass Graft
Diabetes Prior Percutaneous Coronary Intervention
Dialysis Prior Carotid Endarterectomy/Carotid Artery Stenting
Hypertension Major surgery
Atrial Fibrillation Major Brain surgery
Hyperlipidemia Major cardiac Procedure Characteristics
Prior Congestive Heart Failure Major vascular Procedure Characteristics
Pre-Procedural Characteristics (36) Admit Date Time at IV tPA Given
Visit Code Other IV Thrombolytic Given
Transferred From? Time at other IV Thrombolytic
CAD Symptoms Pre-Stroke Modified Rankin Score (mRS)
Prior Stroke Event National Institute of Health Stroke Score
Pre-op Haemoglobin (g/dl) CT Angiography
Pre-op Haemoglobin (g/L) MRI
Creatinine (mg/dl) CT Perfusion
Creatinine (umol/L) Magnetic Resonance Perfusion
Blood Pressure On Arrival - Systolic CT
Diastolic Alberta Stroke Programme Early CT Score
International Normalised Ratio Core Infarct Volume (DWI Volume)
Glucose Stroke Onset Witnessed
Pre-Op American Society of Anesthesiologists Physical Status Classification Time Last Known Well
Pre-Op P2Y12 Antagonist Time at First Emergency Department Arrival
Pre-Op Statin Time at Second ED Arrival
Pre-Op Chronic Anticoagulant Time at Most Recent Imaging Done
IV Tissue Plasminogen Activator (tPA) Given Time at Image Interpretation
Procedure Characteristics (102) Procedure Characteristics Date Final Pass Stent Ret Dia
Primary Physician Pass 1 Stent Ret Len
Assistant Pass 2 Stent Ret Len
Medicare Health Insurance Claim Number Final Pass Stent Ret Len
Hypercoagulable State Pass 1 Asp Catheter
Ipsilateral Pass 2 Asp Catheter
Contralateral Final Pass Asp Catheter
Initial Location of Occlusion Pass 1 Asp Cath Other
Side of Occlusion Pass 2 Asp Cath Other
Location of Additional Occlusion Final Pass Asp Cath Other
Side of Additional Occlusion Pass 1 Separator Used
Expanded Thrombolysis In Cerebral Infarction Grade Pass 2 Separator Used
Trial Enrollment Final Pass Separator Used
American Society of Anesthesiologists Class Pass 1 Asp Type
Anaesthesia Pass 2 Asp Type
Intubated Prior to Angio Suite Arrival Final Pass Asp Type
Time at Arrival to Angio Suite Additional Treatment
Time at Groin Puncture Extra Cranial Angioplasty
Stroke Onset to Groin Puncture Side of Extra Cranial Angioplasty
ED Arrival to Groin Puncture Extra Cranial Stent
Number of Passes Side of Extra Cranial Stent
Pass 1 Intervention Type Intra-arterial Thrombolytic Given
Pass 2 Intervention Type Thrombolytic Dosage
Final Pass Intervention Type IIb/IIIa Inhibitor Given
Pass 1 Clot Location Heparin Given
Pass 2 Clot Location Total Heparin Units
Final Pass Clot Location Activated Clotting Time
Pass 1 Guide Cath Balloon Angiomax Given
Pass 2 Guide Cath Balloon ASA Given Intra-procedurally
Final Pass Guide Cath Balloon ASA Dosage
Pass 1 Guide Cath Asp Route
Pass 2 Guide Cath Asp P2Y12 Antagonist Given
Final Pass Guide Cath Asp P2Y12 Antagonist Dosage
Pass 1 Inter Cath Asp Other intraarterial medication (antispasm)
Pass 2 Inter Cath Asp Route
Final Pass Inter Cath Asp Total Fluoro Time
Pass 1 Inter Cath Used Total Radiation
Pass 2 Inter Cath Used Contrast Volume
Final Pass Inter Cath Used Final eTICI Grade
Pass 1 Int Cath Other: Time at Recanalisation
Pass 2 Int Cath Other: Intra-Procedural Complication
Final Pass Int Cath Other: Embolization to Non-target Vessel
Pass 1 Distal Dev Trtmt App Location of Vessel Perforation
Pass 2 Distal Dev Trtmt App Required Additional Treatment
Final Pass Distal Dev Trtmt App Technical Failure
Pass 1 DD Treat App Other Please Specify:
Pass 2 DD Treat App Other Procedure Characteristics Time
Final Pass DD Treat App Other Time to Recanalisation
Pass 1 Stent Retriever Access artery issues and complications (including but not limited to)
Pass 2 Stent Retriever Dissection
Final Pass Stent Retriever Occlusion
Pass 1 Stent Rtrvr Other Device issues:
Pass 2 Stent Rtrvr Other Dissection
Final Pass Stent Rtrvr Other Device failure, breakage, or foreign body embolization
Pass 1 Stent Ret Dia Device related emboli
Pass 2 Stent Ret Dia Vessel perforation/rupture/extravasation (intracranial)
Post-Procedural Characteristics (29) Haemorrhagic Infarction (HI) 1 Groin Puncture Complication Requiring Intervention
HI2 Time Point of Occurrence
Parenchymal hematoma (PH) 1 Type Haemorrhagic Transformation Check All That Apply:
PH2 Type Haemorrhagic Transformation Final Infarct Volume defined using imaging type and timepoint
Parenchymal hematoma remote from infarcted brain tissue Final Infarct Volume NA
Intraventricular haemorrhage Intensive Care Unit Stay
Subarachnoid haemorrhage Discharge NIHSS
Subdural haemorrhage Discharge NIHSS NA
Please Specify: NIHSS Score Change (Timepoint - Pre-Stroke) >= 4
Discharge Date Suspected Cause of Neurologic Deterioration
Discharge Status Need for access site arterial repair
Date of Death Artery Type
Post-Operative Length of Stay Type of complication
Alive at 24 Hours? Subsequent complications
24 Hour National Institute of Health Stroke Score Retroperitoneal haemorrhage
24 Hour CT
Imaging Data (3) All Head and Neck CT /CT Angiography/CT Perfusion All cerebral angiography - Digital Subtraction Angiography
All head and Neck Magnetic Resonance- MRI/ Angiography/ Perfusion-weighted MRI
Follow-Up (26) Date of Contact 1 Year NIHSS
Contact By Re-admission within 1 year
Current Living Status; (Rehab, Nursing Facility, Hospice, Home, Dead) Antiplatelet or Dual Antiplatelet Therapy type and duration of therapy
Date of Death Cerebral target (treated) vessel re-occlusion
Cause of Death Death within 90 days
Current Smoking Death within 1 year
30 Day Modified Rankin Score New cerebral infarct within 30 days
30 Day National Institute of Health Stroke Score New cerebral infarct within 90 days
Re-admission within 30 days New cerebral infarct within 1 year
90 Day mRS Discharge Disposition; (Rehab, Nursing Facility, Hospice, Home)
90 Day NIHSS mRS 2 years
Re-admission within 90 days mRS 3 years
1 Year mRS mRS 5 years