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:4/28/2016)... Viejo, CA (PRWEB) , ... April 28, 2016 , ... ... use within Final Cut Pro X . With ProText Layouts, video editors ... tweak animations to match the length and scale of texts. Creating text-based videos ...
(Date:4/28/2016)... ... , ... Head Over Heels Athletic Arts’ gymnast, Brooklyn Varize, has qualified to ... at the University of Montana on April 28-May 1. Varize will compete on Saturday ... order to qualify, Varize needed to place top seven all-around in her respective age ...
(Date:4/28/2016)... ... April 28, 2016 , ... The ... successful events, attracting medical professionals from around the globe who attended a week’s ... Opening Ceremonies Sunday, April 17 included the introduction of the 2016 ARRS Distinguished ...
(Date:4/28/2016)... ... April 28, 2016 , ... Greener Hydroponics is now offering a ... frequently used by professional organic farmers and nurseries according to Sales Manager Joe Steele ... fabric pots. Our goal is to offer wholesale level pricing and ultra-fast shipping for ...
(Date:4/28/2016)... ... April 28, 2016 , ... Horizon ... collaborating with doctors and hospitals to make transformative changes in how health care ... therapy minds this week in discussing breakthroughs in cellular medicine to treat disease. ...
Breaking Medicine News(10 mins):
(Date:4/28/2016)... 28, 2016 Oramed Pharmaceuticals Inc. (NASDAQ: ... company focused on the development of oral drug delivery systems, ... PIONEERS 2016 conference, presented by Joseph Gunnar & ... New York . Nadav Kidron , CEO ... Presentation Details:   PIONEERS 2016, ...
(Date:4/27/2016)... -- Hologic, Inc. (Nasdaq: HOLX ) announced ... second quarter ended March 26, 2016.  GAAP diluted ... and non-GAAP diluted EPS of $0.47 increased 14.6%.  ... reported basis, and 6.3% on a constant currency ... quarter, highlighted by 14.6% growth in non-GAAP EPS," ...
(Date:4/27/2016)... , April 27, 2016 Transparency ... "Skincare Devices Market - Global Industry Analysis, Size, Share, ... the report, the global skincare devices market was valued ... to expand at a CAGR of 10.1% from 2015 ... Browse the full Skincare Devices Market (Treatment Device ...
Breaking Medicine Technology: