Vertebral Reconstruction

We have a patient with prior Left Vertebral Occlusions with distal reconstruction. the TM says we
can count vertebral disease in the CVD section. Could the vertebral reconstruction count as a prior CV surgery?
She seems like she was definitely higher risk but wanted to check with you about counting the vertebral
reconstruction as a prior carotid surgery. I have always assumed that the carotids were NOT like the
coronaries...where...once occluded, always occluded? "Left subclavian artery stent, L vert occlusion with distal
recon,"
her carotids were clean by duplex study:
Right Carotid The right mid CCA is normal.
The right middle ICA is minimally to mildly stenosed (<39%).
The right ECA is normal.
The right vertebral flow is antegrade.
The right subclavian artery is triphasic.
Left Carotid The left middle CCA is minimally to mildly stenosed (<39%) with moderate homogeneous/
calcified plaque noted.
The left proximal ICA is minimally to mildly stenosed (<39%) with calcified plaque noted.
The left ECA is normal.
The left vertebral artery flow is antegrade.
The left subclavian is triphasic

Vertebral Reconstruction