ArticleAnnals of vascular surgery2017
Clinical Outcome of Carotid Artery Stenting According to Provider Specialty and Volume.
Article in Annals of vascular surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Carotid Artery Stenting Outcomes by Neurointerventional Surgeons (CASONI).Stroke (Hoboken, N.J.) · 2025Article
- CASSH Registry: Rationale and Study Design.Stroke (Hoboken, N.J.) · 2024Article
- Mid-Term Results of an Italian Multicentric Experience with the RoadsaverHealthcare (Basel, Switzerland) · 2024Article
- Characterizing endovascular aortic intervention outcomes for nonruptured aortic aneurysms by physician specialty.Surgery · 2022Observational
- Predictors of Perioperative Stroke/Death after Carotid Artery Stenting: A Review Article.Annals of vascular diseases · 2018Review
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Authors and funding
9 authors.
Funding
Abstract
backgroundSeveral studies have demonstrated better outcomes for carotid endarterectomy with high-volume hospitals and providers. However, only a few studies have reported on the impact of operator specialty/volume on the perioperative outcome of carotid artery stenting (CAS). This study will analyze the correlation of CAS outcomes and provider specialty and volume.
methodsProspectively collected data of CAS procedures done at our institution during a 10-year period were analyzed. Major adverse events (MAEs; 30-day stroke, myocardial infarction, and death) were compared according to provider specialty (vascular surgeons [VSs], interventional cardiologists [ICs], interventional radiologists [IRs], interventional vascular medicine [IVM]), and volume (≥5 CAS/year vs. <5 CAS/year).
resultsFour hundred fourteen CAS procedures (44% for symptomatic indications) were analyzed. Demographics/clinical characteristics were somewhat similar between specialties. MAE rates were not significantly different between various specialties: 3.1% for IC, 6.3% for VS, 7.1% for IR, 6.7% for IVM (P = 0.3121; 6.3% for VS and 3.8% for others combined, P = 0.2469). When physicians with <5 CAS/year were excluded: the MAE rates were 3.1% for IC, 4.7% for VS, and 6.7% for IVM (P = 0.5633). When VS alone were compared with others, and physicians with <5 CAS/year were excluded, the MAE rates were 4.7% for VS vs. 3.6% for non-VS (P = 0.5958). The MAE rates for low-volume providers, regardless of their specialty, were 9.5% vs. 4% for high-volume providers (P = 0.1002). Logistic regression analysis showed that the odds ratio of MAE was 0.4 (0.15-1.1, P = 0.0674) for high-volume providers, while the odds ratio for VS was 1.3 (0.45-3.954, P = 0.5969).
conclusionsPerioperative MAE rates for CAS were similar between various providers, regardless of specialties, particularly for vascular surgeons with similar volume to nonvascular surgeons. Low-volume providers had higher MAE rates.
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