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:3/22/2017)... ... ... College basketball surges to its peak during the March Madness NCAA tournament, but ... to be foster parents. Through a televised spot, Coach Self is inviting adults to ... abuse, neglect and other family challenges. People who respond to Self’s call to community ...
(Date:3/22/2017)... ... ... HumanHaus is proud to announce the launch of its newest invention on crowdfunding ... invented, but our customers today are busy, energetic, multi-taskers that live in a smarter ... and retired that want to travel. The Sweep&Stand is a self-standing broom ...
(Date:3/22/2017)... ... ... NYC Chiropractor Dr. Steven Shoshany recently helped host a seminar at his cutting edge ... focused on a new protocol for treating pain. Dr. Shoshany is among the first ... the first seminar in the country was hosted at his Integrated Chiropractic Practice. ...
(Date:3/22/2017)... , ... March 22, 2017 , ... Sharon Kleyne is ... more than two decades ago to research evaporation of earth’s and the body’s water ... better health. Also the host of the nationally syndicated radio program, The Sharon Kleyne ...
(Date:3/22/2017)... ... March 22, 2017 , ... The International Association of ... specialists and other medical professionals caring for those suffering from the full spectrum ... iaedp Symposium at the Green Valley Resort in Las Vegas, March 22 - ...
Breaking Medicine News(10 mins):
(Date:3/22/2017)... 22, 2017 Hologic, Inc. (Nasdaq: ... acquisition of Cynosure, Inc., a leader in medical aesthetics ... "We are pleased to complete our acquisition ... Michael Davin and the entire Cynosure team to ... medical aesthetics market," said Steve MacMillan , Hologic,s ...
(Date:3/22/2017)... -- TFS is pleased to announce the appointment of ... two global executive positions in Medical Affairs and Clinical Development. Dr. ... and will report to Dr. Montse Barceló , Chief Operating ... ... of medical and scientific expertise gained across leading biopharmaceutical companies and ...
(Date:3/22/2017)... 22, 2017  Levine Cancer Institute today launched ... designed to address lung cancer diagnosis, treatment and ... The mobile lung unit is the first-of-its-kind to ... treatment interventions through integrated mobile technology, traditional treatment ... barriers and a lack of public transportation are ...
Breaking Medicine Technology: