Complication Rates and Center Enrollment Volume in the Carotid Revascularization Endarterectomy Versus Stenting Trial

Evidence indicates that center volume of cases affects outcomes for both carotid endarterectomy and stenting. We evaluated the effect of enrollment volume by site on complication rates in the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST). The primary composite end point was...

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Veröffentlicht in:	Stroke (1970) 2014-11, Vol.45 (11), p.3320-3324
Hauptverfasser:	GONZALES, Nicole R, DEMAERSCHALK, Bart M, BROTT, Thomas G, VOEKS, Jenifer H, TOM, Meelee, HOWARD, George, SHEFFET, Alice J, GARCIA, Lawrence, CLAIR, Daniel G, BARR, John, ORLOW, Steven
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Angioplasty - adverse effects Angioplasty - trends Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Carotid Stenosis - epidemiology Carotid Stenosis - surgery Cerebral Revascularization - adverse effects Cerebral Revascularization - trends Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Endarterectomy, Carotid - adverse effects Endarterectomy, Carotid - trends Female Follow-Up Studies Humans Male Medical sciences Middle Aged Neurology Neurosurgery Postoperative Complications - diagnosis Postoperative Complications - epidemiology Prospective Studies Risk Factors Single-Blind Method Skull, brain, vascular surgery Stents - adverse effects Stents - trends Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Vascular diseases and vascular malformations of the nervous system
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Zusammenfassung:	Evidence indicates that center volume of cases affects outcomes for both carotid endarterectomy and stenting. We evaluated the effect of enrollment volume by site on complication rates in the Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST). The primary composite end point was any stroke, myocardial infarction, or death within 30 days or ipsilateral stroke in follow-up. The 477 approved surgeons performed >12 procedures per year with complication rates
ISSN:	0039-2499 1524-4628
DOI:	10.1161/STROKEAHA.114.006228