Navigation Links
Surgeon Experience Matters in Neck Artery Procedure: Study
Date:9/27/2011

By Randy Dotinga
HealthDay Reporter

TUESDAY, Sept. 27 (HealthDay News) -- New research suggests that older patients who undergo surgery to open up clogged arteries in the neck are more likely to die within a month if their surgeon is inexperienced, although the risk is still small.

Even so, stenting may still be appropriate for some of these patients, said study author Dr. Brahmajee K. Nallamothu, an associate professor of internal medicine at the University of Michigan Health System.

"The paper is meant more as a wake-up call for ensuring that we deliver this new procedure more optimally by placing it in the hands of operators who have the most familiarity with it," he said.

At issue is a procedure known as carotid stenting, which is performed on patients whose neck arteries are blocked and are either at risk for a stroke or mini-stroke, or who have already had one.

Surgeons guide a catheter placed in the groin up to the neck, where they prop open an artery using a tube-like device called a stent. The procedure is complex and requires vascular surgeons to learn new skills instead of adapting ones that they already have, Nallamothu explained.

In the new study, researchers examined the medical records of 24,701 Medicare recipients, aged 65 and older, who underwent carotid stenting procedures between 2005 and 2007. Overall, 1.9 percent of patients died within 30 days, but the death rate was higher -- 2.5 percent -- in those treated by surgeons who performed fewer than six of the procedures a year. There are a lot of surgeons with a low level of experience, Nallamothu noted. The death rate was 1.4 percent among those who performed the most procedures -- 24 or more a year.

An experience gap remained even after the study authors adjusted their statistics so they wouldn't be thrown off by factors such as high or low numbers of patients of certain ages, genders or races.

Nallamothu said patients should feel comfortable asking their surgeons about their level of experience. He added that some research has suggested that surgeons can effectively learn how to perform cardiac stenting with the help of education programs. "However," he said, "the extent to which these programs are routinely used in real-world practice and their overall quality in such settings is largely unknown."

Stents may not be the best answer for older patients with clogged neck arteries, especially those over 75, said Dr. John Francfort, chairman of the department of surgery at Good Samaritan Hospital Medical Center in West Islip, N.Y.

An alternative surgical procedure known as an endarterectomy to open up neck arteries may be a better idea, Francfort said.

The study is published in the Sept. 28 issue of the Journal of the American Medical Association.

More information

For more about the carotid arteries, visit the U.S. National Library of Medicine.

SOURCES: Brahmajee K. Nallamothu, M.D., M.P.H., associate professor, internal medicine, University of Michigan Health System, Ann Arbor; John Francfort, M.D., chairman, department of surgery, Good Samaritan Hospital Medical Center, West Islip, N.Y.; Sept. 28, 2011, Journal of the American Medical Association


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. NY Plastic Surgeon Challenges Long-Held Separation of Derms and Plastic Surgeons
2. Spine Surgeon from China Visits Panorama Orthopedics & Spine Center
3. Is a Tummy Tuck Right for Me? Alabama Plastic Surgeon Dr. David Durst Offers Tips as the Popularity of Surgical Cosmetic Enhancement Continues to Rise
4. Who Needs a Facelift? Plastic Surgeon Dr. Robert Zubowski With the Facts
5. Pittsburgh Neurosurgeons Explore Use of Drug that Illuminates Brain Tumor Cells To Guide Surgery
6. Ft. Lauderdale Plastic Surgeon Robert E. Rothfield MD Restoring Curves and Self-Esteem in New Moms with Mommy Makeover
7. Surgeon General with Microsoft HealthVault Expands Consumer Benefits for the My Family Health Portrait Offering
8. Dr. Alesia Wagner of U.S. HealthWorks Medical Group Re-elected to Board of Osteopathic Physicians and Surgeons of California
9. Jefferson surgeon receives outstanding performance award from American College Of Surgeons
10. Prostate cancer surgeons feel with their eyes
11. U.S. Surgeon General Regina Benjamin to Address National Association of Black Journalists Conference on Health Disparities
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Surgeon Experience Matters in Neck Artery Procedure: Study
(Date:10/12/2017)... Del. (PRWEB) , ... October 12, 2017 , ... ... and advisory services for healthcare compliance program management, will showcase a range of ... National Association for Assisted Living (NCAL) Convention and Expo to be held October ...
(Date:10/12/2017)... ... October 12, 2017 , ... Planet Fitness, one of the largest ... its plans to open a flagship location in Covington, LA at 401 N. U.S. ... Go store next to Office Depot in the Holiday Square shopping center. Its location ...
(Date:10/12/2017)... ... October 12, 2017 , ... IsoComforter, Inc. ( https://isocomforter.com ... the introduction of an innovative new design of the shoulder pad. The shoulder ... maximum comfort while controlling your pain while using cold therapy. By utilizing ice and ...
(Date:10/12/2017)... ... ... Asante, a nationally recognized health system in southern Oregon, ... health joint venture through an agreement, effective October 1, 2017, to create AccentCare ... company with Asante, delivering clinically integrated care, for the past eight years. This ...
(Date:10/12/2017)... ... 2017 , ... Dr. Parsa Mohebi, the Los Angeles based ... the newly revamped Cosmetic Town journal section, featuring articles written by ... as Follicular Unit Extraction (FUE). , Dr. Mohebi says “I enjoy ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... 2017 Diplomat Pharmacy, Inc. (NYSE: ... Consulting, LLC , and named its founder as Diplomat,s ... Tennessee , will operate under Diplomat ... service offerings for health care partners to include IT ... "In an interoperable world, technology delivers comprehensive ...
(Date:10/2/2017)... ORLANDO, Fla. , Oct. 2, 2017  AllianceRx ... services company formed by Walgreens and pharmacy benefit manager ... of its new brand, which included the unveiling of ... Fla. , as well as at a few ... introduces the new brand to patients, some of whom ...
(Date:10/2/2017)... 2017 The Rebound mobile app is poised to ... the tide of prescription drug addiction. The app empowers users ... and stepping down their dosage in a safe, controlled manner ... 2017; the first 100,000 people to sign up will enjoy ... ...
Breaking Medicine Technology: