Journal of Vascular Surgery
Volume 49, Issue 6 , Pages 1379-1385 , June 2009

An analysis of carotid artery stenting procedures performed in New York and Florida (2005-2006): Procedure indication, stroke rate, and mortality rate are equivalent for vascular surgeons and non-vascular surgeons

Presented at the 2009 Society for Clinical Vascular Surgery, March 18-21, 2009, Fort Lauderdale, Fla.

Received 5 January 2009 ,Accepted 11 February 2009.

References 

  1. Diethrich EB, Ndiaye M, Reid DB. Stenting in the carotid artery: initial experience in 110 patients. J Endovasc Surg. 1996;3:42–62
  2. Theiss W, Hermanek P, Mathias K, Ahmadi R, Heuser L, Hoffmann FJ, et al. Pro-CAS: a prospective registry of carotid angioplasty and stenting. Stroke. 2004;35:2134–2139
  3. Wholey MH, Al-Mubarek N, Wholey MH. Updated review of the global carotid artery stent registry. Catheter Cardiovasc Interv. 2003;60:259–266
  4. Brahmanandam S, Ding EL, Conte MS, Belkin M, Nguyen LL. Clinical results of carotid artery stenting compared with carotid endarterectomy. J Vasc Surg. 2008;47:343–349
  5. McPhee JT, Hill JS, Ciocca RG, Messina LM, Eslami MH. Carotid endarterectomy was performed with lower stroke and death rates than carotid artery stenting in the United States in 2003 and 2004. J Vasc Surg. 2007;46:1112–1118
  6. Park B, Mavanur A, Dahn M, Menzoian J. Clinical outcomes and cost comparison of carotid artery angioplasty with stenting versus carotid endarterectomy. J Vasc Surg. 2006;44:270–276
  7. Mas JL, Chatellier G, Beyssen B, Branchereau A, Moulin T, Becquemin JP, et al. Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. N Engl J Med. 2006;355:1660–1671
  8. SPACE Collaborative GroupRingleb PA, Allenberg J, Brückmann H, Eckstein HH, fraedrich G, Hartmann M, et al. 30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial. Lancet. 2006;368:1239–1249
  9. Yadav JS, Wholey MH, Kuntz RE, Fayad P, Katzen BT, Mishkel GJ, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004;351:1493–1501
  10. Goodney PP, Schermerhorn ML, Powell RJ. Current status of carotid artery stenting. J Vasc Surg. 2006;43:406–411
  11. [No authors listed] Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis. North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. 1991;3325:445–453
  12. Young B, Moore WS, Robertson JT, Toole JF, Ernst CB, Cohen SN, et al. An analysis of perioperative surgical mortality and morbidity in the asymptomatic carotid atherosclerosis study (ACAS Investigators). Asymptomatic Carotid Artheriosclerosis Study (Stroke). 1996;27:2216–2224
  13. Rosenfield KM, SCAI/SVMB/SVS Writing Committee. Clinical competence statement on carotid stenting: training and credentialing for carotid stenting-multispecialty consensus recommendations. J Vasc Surg. 2005;341:160–168
  14. Rosenfield K, Babb JD, Cates CU, Cowley MJ, Feldman T, Gallagher A, et al. Clinical competence statement on carotid stenting: training and credentialing for carotid stenting–multispecialty consensus recommendations: a report of the SCAI/SVMB/SVS Writing Committee to develop a clinical competence statement on carotid interventions. J Am Coll Cardiol. 2005;45:165–174
  15. Connors JJ, Sacks D, Furlan AJ, Selman WR, Russell EJ, Stieg PE, et al. Training, competency, and credentialing standards for diagnostic cervicocerebral angiography, carotid stenting, and cerebrovascular intervention: a joint statement from the American Academy of Neurology, American Association of Neurological Surgeons, American Society of Interventional and Therapeutic Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, AANS/CNS Cerebrovascular Section, and Society of Interventional Radiology. Radiology. 2005;234:26–34
  16. Expansion of Coverage for Percutaneous Transluminal Angioplasty. CMS, 2005. (Accessed December 19, 2008, at http://www.cms.hhs.gov/ContractorLearningResources/downloads/JA3811.pdf.)
  17. Greco G, Egorova N, Anderson PL, Gelijns A, Moskowitz A, Nowygrod R, et al. Outcomes of endovascular treatment of ruptured abdominal aortic aneurysms. J Vasc Surg. 2006;43:453–459
  18. Elixhauser A, Steiner C, Harris DR, Coffey RM. Comorbidity measures for use with administrative data. Med Care. 1998;36:8–27
  19. McPhee JT, Schanzer A, Messina LM, Eslami MH. Carotid artery stenting has increased rates of postprocedure stroke, death, and resource utilization than does carotid endarterectomy in the United States, 2005. J Vasc Surg. 2008;48:1442–1450
  20. Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika. 1983;70:41–55
  21. Sidawy AN, Zwolak RM, White RA, Siami FS, Schermerhorn ML, Sicard GA Outcomes Committee for the Society for Vascular Surgery. Risk-adjusted 30-day outcomes of carotid stenting and endarterectomy: results from the SVS Vascular Registry. J Vasc Surg. 2009;349:71–79
  22. Nowygrod R, Egorova N, Greco G, Anderson P, Gelijns A, Moskowitz A, et al. Trends, complications, and mortality in peripheral vascular surgery. J Vasc Surg. 2006;43:205–216
  23. Berthelsen CL. Evaluation of coding data quality of the HCUP National Inpatient Sample. Top Health Inf Manage. 2000;21:10–23

 Competition of interest: none.

PII: S0741-5214(09)00573-4

doi: 10.1016/j.jvs.2009.02.233

Journal of Vascular Surgery
Volume 49, Issue 6 , Pages 1379-1385 , June 2009