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The medical records of 216 patients that underwent carotid endarterectomies at the San Juan Veteran Affairs Hospital and Pavia Hospital, operated by a single surgeon during eight years (1990-1998), were reviewed retrospectively.
The surgeons recruited to participate could have a volume of 15-100 endarterectomies per year.
We found that surgeons performing carotid endarterectomies who got their licenses 20 or more years ago had the highest mortality rate among their patients-about one out of a hundred," says Liam O'Neill, assistant professor of policy analysis and management.
Industry sources estimate that approximately 100,000 carotid endarterectomies are performed in the United States each year.
That study suggested that only about one-third of the carotid endarterectomies were being done for clearly appropriate indications (Winslow, Solomon, Chassin, et al.
This information should be obtainable by means of an independent chart review of the surgeon's most recent 30 endarterectomies in symptomatic patients with particular vigilance for any mention of confusion or focal weakness in the physician's progress notes or in nursing notes in the postoperative week and the first clinic visit.
More than two-thirds of the carotid endarterectomies performed in the United States are performed on patients who are asymptomatic.
WASHINGTON -- Carotid endarterectomies can be performed in elderly patients with few complications and a short hospital stay said Dr.
In the April 7 Circulation, Roubin and his colleagues report that, compared to carotid endarterectomies, stents halved the complication rates in most high-risk patients and reduced even further the problems encountered by those who had very large blockages.
This procedure is most commonly performed on the elderly; about three-quarters of all endarterectomies in 1990 were provided to Medicare patients (Graves 1992).
8 percent -- of the people who get carotid endarterectomies die before being discharged from the hospital.