Eintrag weiter verarbeiten
Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration: Is There an Operator Effect? A Pooled Analysis From the Caroti...
Gespeichert in:
Zeitschriftentitel: | Stroke |
---|---|
Personen und Körperschaften: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
In: | Stroke, 45, 2014, 2, S. 527-532 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
Ovid Technologies (Wolters Kluwer Health)
|
Schlagwörter: |
author_facet |
Calvet, David Mas, Jean-Louis Algra, Ale Becquemin, Jean-Pierre Bonati, Leo H. Dobson, Joanna Fraedrich, Gustav Jansen, Olav Mali, Willem P. Ringleb, Peter A. Chatellier, Gilles Brown, Martin M. Calvet, D. Mas, J.-L. Algra, A. Becquemin, J.-P. Bonati, L.H. Dobson, J. Fraedrich, G. Jansen, O. Mali, W.P. Ringleb, P.A. Chatellier, G. Brown, M.M. Algra, A. Becquemin, J.P. Chatellier, G. Mas, J.-L. Fraedrich, G. Ringleb, P.A. Jansen, O. Bonati, L. H. Brown, M. M. Mali, W. P. Mas, J.-L. Chatellier, G. Becquemin, J.-P. Bonneville, J.-F. Branchereau, A. Crochet, D. Gaux, J. C. Larrue, V. Leys, D. Watelet, J. Hacke, W. Hennerici, M. Allenberg, J.R. Maurer, P.C. Eckstein, H.-H. Zeumer, H. Jansen, O. Algra, A. Bamford, J. Beard, J. Bland, M. Bradbury, A.W. Brown, M.M. Clifton, A. Gaines, P. Hacke, W. Halliday, A. Malik, I. Mas, J.-L. McGuire, A.J. Sidhu, P. Venables, G. Calvet, David Mas, Jean-Louis Algra, Ale Becquemin, Jean-Pierre Bonati, Leo H. Dobson, Joanna Fraedrich, Gustav Jansen, Olav Mali, Willem P. Ringleb, Peter A. Chatellier, Gilles Brown, Martin M. Calvet, D. Mas, J.-L. Algra, A. Becquemin, J.-P. Bonati, L.H. Dobson, J. Fraedrich, G. Jansen, O. Mali, W.P. Ringleb, P.A. Chatellier, G. Brown, M.M. Algra, A. Becquemin, J.P. Chatellier, G. Mas, J.-L. Fraedrich, G. Ringleb, P.A. Jansen, O. Bonati, L. H. Brown, M. M. Mali, W. P. Mas, J.-L. Chatellier, G. Becquemin, J.-P. Bonneville, J.-F. Branchereau, A. Crochet, D. Gaux, J. C. Larrue, V. Leys, D. Watelet, J. Hacke, W. Hennerici, M. Allenberg, J.R. Maurer, P.C. Eckstein, H.-H. Zeumer, H. Jansen, O. Algra, A. Bamford, J. Beard, J. Bland, M. Bradbury, A.W. Brown, M.M. Clifton, A. Gaines, P. Hacke, W. Halliday, A. Malik, I. Mas, J.-L. McGuire, A.J. Sidhu, P. Venables, G. |
---|---|
author |
Calvet, David Mas, Jean-Louis Algra, Ale Becquemin, Jean-Pierre Bonati, Leo H. Dobson, Joanna Fraedrich, Gustav Jansen, Olav Mali, Willem P. Ringleb, Peter A. Chatellier, Gilles Brown, Martin M. Calvet, D. Mas, J.-L. Algra, A. Becquemin, J.-P. Bonati, L.H. Dobson, J. Fraedrich, G. Jansen, O. Mali, W.P. Ringleb, P.A. Chatellier, G. Brown, M.M. Algra, A. Becquemin, J.P. Chatellier, G. Mas, J.-L. Fraedrich, G. Ringleb, P.A. Jansen, O. Bonati, L. H. Brown, M. M. Mali, W. P. Mas, J.-L. Chatellier, G. Becquemin, J.-P. Bonneville, J.-F. Branchereau, A. Crochet, D. Gaux, J. C. Larrue, V. Leys, D. Watelet, J. Hacke, W. Hennerici, M. Allenberg, J.R. Maurer, P.C. Eckstein, H.-H. Zeumer, H. Jansen, O. Algra, A. Bamford, J. Beard, J. Bland, M. Bradbury, A.W. Brown, M.M. Clifton, A. Gaines, P. Hacke, W. Halliday, A. Malik, I. Mas, J.-L. McGuire, A.J. Sidhu, P. Venables, G. |
spellingShingle |
Calvet, David Mas, Jean-Louis Algra, Ale Becquemin, Jean-Pierre Bonati, Leo H. Dobson, Joanna Fraedrich, Gustav Jansen, Olav Mali, Willem P. Ringleb, Peter A. Chatellier, Gilles Brown, Martin M. Calvet, D. Mas, J.-L. Algra, A. Becquemin, J.-P. Bonati, L.H. Dobson, J. Fraedrich, G. Jansen, O. Mali, W.P. Ringleb, P.A. Chatellier, G. Brown, M.M. Algra, A. Becquemin, J.P. Chatellier, G. Mas, J.-L. Fraedrich, G. Ringleb, P.A. Jansen, O. Bonati, L. H. Brown, M. M. Mali, W. P. Mas, J.-L. Chatellier, G. Becquemin, J.-P. Bonneville, J.-F. Branchereau, A. Crochet, D. Gaux, J. C. Larrue, V. Leys, D. Watelet, J. Hacke, W. Hennerici, M. Allenberg, J.R. Maurer, P.C. Eckstein, H.-H. Zeumer, H. Jansen, O. Algra, A. Bamford, J. Beard, J. Bland, M. Bradbury, A.W. Brown, M.M. Clifton, A. Gaines, P. Hacke, W. Halliday, A. Malik, I. Mas, J.-L. McGuire, A.J. Sidhu, P. Venables, G. Stroke Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration Advanced and Specialized Nursing Cardiology and Cardiovascular Medicine Neurology (clinical) |
author_sort |
calvet, david |
spelling |
Calvet, David Mas, Jean-Louis Algra, Ale Becquemin, Jean-Pierre Bonati, Leo H. Dobson, Joanna Fraedrich, Gustav Jansen, Olav Mali, Willem P. Ringleb, Peter A. Chatellier, Gilles Brown, Martin M. Calvet, D. Mas, J.-L. Algra, A. Becquemin, J.-P. Bonati, L.H. Dobson, J. Fraedrich, G. Jansen, O. Mali, W.P. Ringleb, P.A. Chatellier, G. Brown, M.M. Algra, A. Becquemin, J.P. Chatellier, G. Mas, J.-L. Fraedrich, G. Ringleb, P.A. Jansen, O. Bonati, L. H. Brown, M. M. Mali, W. P. Mas, J.-L. Chatellier, G. Becquemin, J.-P. Bonneville, J.-F. Branchereau, A. Crochet, D. Gaux, J. C. Larrue, V. Leys, D. Watelet, J. Hacke, W. Hennerici, M. Allenberg, J.R. Maurer, P.C. Eckstein, H.-H. Zeumer, H. Jansen, O. Algra, A. Bamford, J. Beard, J. Bland, M. Bradbury, A.W. Brown, M.M. Clifton, A. Gaines, P. Hacke, W. Halliday, A. Malik, I. Mas, J.-L. McGuire, A.J. Sidhu, P. Venables, G. 0039-2499 1524-4628 Ovid Technologies (Wolters Kluwer Health) Advanced and Specialized Nursing Cardiology and Cardiovascular Medicine Neurology (clinical) http://dx.doi.org/10.1161/strokeaha.113.003526 <jats:sec> <jats:title>Background and Purpose—</jats:title> <jats:p>Randomized clinical trials show higher 30-day risk of stroke or death after carotid artery stenting compared with surgery. We examined whether operator experience is associated with 30-day risk of stroke or death in the Carotid Stenting Trialists’ Collaboration database.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods—</jats:title> <jats:p>The Carotid Stenting Trialists’ Collaboration is a pooled individual patient database including all patients recruited in 3 randomized trials of stenting versus endarterectomy for symptomatic carotid stenosis (Endarterectomy Versus Angioplasty in patients with Symptomatic Severe Carotid Stenosis trial, Stent-Protected Angioplasty versus Carotid Endarterectomy trial, and International Carotid Stenting Study). Lifetime carotid artery stenting experience, lifetime experience in stenting procedures excluding the carotid, and annual number of procedures performed within the trial (in-trial volume), divided into tertiles, were used to measure operator experience. The outcome event was the occurrence of any stroke or death within 30 days of the procedure. The analysis was done per protocol.</jats:p> </jats:sec> <jats:sec> <jats:title>Results—</jats:title> <jats:p> Among 1546 patients who underwent carotid artery stenting, 120 (7.8%) had a stroke or death within 30 days of the procedure. The 30-day risk of stroke or death did not differ according to operator lifetime carotid artery stenting experience ( <jats:italic>P</jats:italic> =0.8) or operator lifetime stenting experience excluding the carotid ( <jats:italic>P</jats:italic> =0.7). In contrast, the 30-day risk of stroke or death was significantly higher in patients treated by operators with low (mean ≤3.2 procedures/y; risk 10.1%; adjusted risk ratio=2.30 [1.36–3.87]) and intermediate annual in-trial volumes (3.2–5.6 procedures/y; 8.4%; adjusted risk ratio=1.93 [1.14–3.27]) compared with patients treated by high annual in-trial volume operators (>5.6 procedures/y; 5.1%). </jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions—</jats:title> <jats:p>Carotid stenting should only be performed by operators with annual procedure volume ≥6 cases per year.</jats:p> </jats:sec> Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration Stroke |
doi_str_mv |
10.1161/strokeaha.113.003526 |
facet_avail |
Online Free |
finc_class_facet |
Medizin |
format |
ElectronicArticle |
fullrecord |
blob:ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTE2MS9zdHJva2VhaGEuMTEzLjAwMzUyNg |
id |
ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTE2MS9zdHJva2VhaGEuMTEzLjAwMzUyNg |
institution |
DE-L229 DE-D275 DE-Bn3 DE-Brt1 DE-Zwi2 DE-D161 DE-Gla1 DE-Zi4 DE-15 DE-Pl11 DE-Rs1 DE-105 DE-14 DE-Ch1 |
imprint |
Ovid Technologies (Wolters Kluwer Health), 2014 |
imprint_str_mv |
Ovid Technologies (Wolters Kluwer Health), 2014 |
issn |
0039-2499 1524-4628 |
issn_str_mv |
0039-2499 1524-4628 |
language |
English |
mega_collection |
Ovid Technologies (Wolters Kluwer Health) (CrossRef) |
match_str |
calvet2014carotidstentingisthereanoperatoreffectapooledanalysisfromthecarotidstentingtrialistscollaborationisthereanoperatoreffectapooledanalysisfromthecarotidstentingtrialistscollaboration |
publishDateSort |
2014 |
publisher |
Ovid Technologies (Wolters Kluwer Health) |
recordtype |
ai |
record_format |
ai |
series |
Stroke |
source_id |
49 |
title_sub |
Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title |
Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_unstemmed |
Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_full |
Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_fullStr |
Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_full_unstemmed |
Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_short |
Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_sort |
carotid stenting : is there an operator effect? a pooled analysis from the carotid stenting trialists’ collaboration |
topic |
Advanced and Specialized Nursing Cardiology and Cardiovascular Medicine Neurology (clinical) |
url |
http://dx.doi.org/10.1161/strokeaha.113.003526 |
publishDate |
2014 |
physical |
527-532 |
description |
<jats:sec>
<jats:title>Background and Purpose—</jats:title>
<jats:p>Randomized clinical trials show higher 30-day risk of stroke or death after carotid artery stenting compared with surgery. We examined whether operator experience is associated with 30-day risk of stroke or death in the Carotid Stenting Trialists’ Collaboration database.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Methods—</jats:title>
<jats:p>The Carotid Stenting Trialists’ Collaboration is a pooled individual patient database including all patients recruited in 3 randomized trials of stenting versus endarterectomy for symptomatic carotid stenosis (Endarterectomy Versus Angioplasty in patients with Symptomatic Severe Carotid Stenosis trial, Stent-Protected Angioplasty versus Carotid Endarterectomy trial, and International Carotid Stenting Study). Lifetime carotid artery stenting experience, lifetime experience in stenting procedures excluding the carotid, and annual number of procedures performed within the trial (in-trial volume), divided into tertiles, were used to measure operator experience. The outcome event was the occurrence of any stroke or death within 30 days of the procedure. The analysis was done per protocol.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Results—</jats:title>
<jats:p>
Among 1546 patients who underwent carotid artery stenting, 120 (7.8%) had a stroke or death within 30 days of the procedure. The 30-day risk of stroke or death did not differ according to operator lifetime carotid artery stenting experience (
<jats:italic>P</jats:italic>
=0.8) or operator lifetime stenting experience excluding the carotid (
<jats:italic>P</jats:italic>
=0.7). In contrast, the 30-day risk of stroke or death was significantly higher in patients treated by operators with low (mean ≤3.2 procedures/y; risk 10.1%; adjusted risk ratio=2.30 [1.36–3.87]) and intermediate annual in-trial volumes (3.2–5.6 procedures/y; 8.4%; adjusted risk ratio=1.93 [1.14–3.27]) compared with patients treated by high annual in-trial volume operators (>5.6 procedures/y; 5.1%).
</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Conclusions—</jats:title>
<jats:p>Carotid stenting should only be performed by operators with annual procedure volume ≥6 cases per year.</jats:p>
</jats:sec> |
container_issue |
2 |
container_start_page |
527 |
container_title |
Stroke |
container_volume |
45 |
format_de105 |
Article, E-Article |
format_de14 |
Article, E-Article |
format_de15 |
Article, E-Article |
format_de520 |
Article, E-Article |
format_de540 |
Article, E-Article |
format_dech1 |
Article, E-Article |
format_ded117 |
Article, E-Article |
format_degla1 |
E-Article |
format_del152 |
Buch |
format_del189 |
Article, E-Article |
format_dezi4 |
Article |
format_dezwi2 |
Article, E-Article |
format_finc |
Article, E-Article |
format_nrw |
Article, E-Article |
_version_ |
1792346155546312706 |
geogr_code |
not assigned |
last_indexed |
2024-03-01T17:34:53.927Z |
geogr_code_person |
not assigned |
openURL |
url_ver=Z39.88-2004&ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fvufind.svn.sourceforge.net%3Agenerator&rft.title=Carotid+Stenting+%3A+Is+There+an+Operator+Effect%3F+A+Pooled+Analysis+From+the+Carotid+Stenting+Trialists%E2%80%99+Collaboration&rft.date=2014-02-01&genre=article&issn=1524-4628&volume=45&issue=2&spage=527&epage=532&pages=527-532&jtitle=Stroke&atitle=Carotid+Stenting+%3A+Is+There+an+Operator+Effect%3F+A+Pooled+Analysis+From+the+Carotid+Stenting+Trialists%E2%80%99+Collaboration&aulast=Venables&aufirst=G.&rft_id=info%3Adoi%2F10.1161%2Fstrokeaha.113.003526&rft.language%5B0%5D=eng |
SOLR | |
_version_ | 1792346155546312706 |
author | Calvet, David, Mas, Jean-Louis, Algra, Ale, Becquemin, Jean-Pierre, Bonati, Leo H., Dobson, Joanna, Fraedrich, Gustav, Jansen, Olav, Mali, Willem P., Ringleb, Peter A., Chatellier, Gilles, Brown, Martin M., Calvet, D., Mas, J.-L., Algra, A., Becquemin, J.-P., Bonati, L.H., Dobson, J., Fraedrich, G., Jansen, O., Mali, W.P., Ringleb, P.A., Chatellier, G., Brown, M.M., Algra, A., Becquemin, J.P., Chatellier, G., Mas, J.-L., Fraedrich, G., Ringleb, P.A., Jansen, O., Bonati, L. H., Brown, M. M., Mali, W. P., Mas, J.-L., Chatellier, G., Becquemin, J.-P., Bonneville, J.-F., Branchereau, A., Crochet, D., Gaux, J. C., Larrue, V., Leys, D., Watelet, J., Hacke, W., Hennerici, M., Allenberg, J.R., Maurer, P.C., Eckstein, H.-H., Zeumer, H., Jansen, O., Algra, A., Bamford, J., Beard, J., Bland, M., Bradbury, A.W., Brown, M.M., Clifton, A., Gaines, P., Hacke, W., Halliday, A., Malik, I., Mas, J.-L., McGuire, A.J., Sidhu, P., Venables, G. |
author_facet | Calvet, David, Mas, Jean-Louis, Algra, Ale, Becquemin, Jean-Pierre, Bonati, Leo H., Dobson, Joanna, Fraedrich, Gustav, Jansen, Olav, Mali, Willem P., Ringleb, Peter A., Chatellier, Gilles, Brown, Martin M., Calvet, D., Mas, J.-L., Algra, A., Becquemin, J.-P., Bonati, L.H., Dobson, J., Fraedrich, G., Jansen, O., Mali, W.P., Ringleb, P.A., Chatellier, G., Brown, M.M., Algra, A., Becquemin, J.P., Chatellier, G., Mas, J.-L., Fraedrich, G., Ringleb, P.A., Jansen, O., Bonati, L. H., Brown, M. M., Mali, W. P., Mas, J.-L., Chatellier, G., Becquemin, J.-P., Bonneville, J.-F., Branchereau, A., Crochet, D., Gaux, J. C., Larrue, V., Leys, D., Watelet, J., Hacke, W., Hennerici, M., Allenberg, J.R., Maurer, P.C., Eckstein, H.-H., Zeumer, H., Jansen, O., Algra, A., Bamford, J., Beard, J., Bland, M., Bradbury, A.W., Brown, M.M., Clifton, A., Gaines, P., Hacke, W., Halliday, A., Malik, I., Mas, J.-L., McGuire, A.J., Sidhu, P., Venables, G., Calvet, David, Mas, Jean-Louis, Algra, Ale, Becquemin, Jean-Pierre, Bonati, Leo H., Dobson, Joanna, Fraedrich, Gustav, Jansen, Olav, Mali, Willem P., Ringleb, Peter A., Chatellier, Gilles, Brown, Martin M., Calvet, D., Mas, J.-L., Algra, A., Becquemin, J.-P., Bonati, L.H., Dobson, J., Fraedrich, G., Jansen, O., Mali, W.P., Ringleb, P.A., Chatellier, G., Brown, M.M., Algra, A., Becquemin, J.P., Chatellier, G., Mas, J.-L., Fraedrich, G., Ringleb, P.A., Jansen, O., Bonati, L. H., Brown, M. M., Mali, W. P., Mas, J.-L., Chatellier, G., Becquemin, J.-P., Bonneville, J.-F., Branchereau, A., Crochet, D., Gaux, J. C., Larrue, V., Leys, D., Watelet, J., Hacke, W., Hennerici, M., Allenberg, J.R., Maurer, P.C., Eckstein, H.-H., Zeumer, H., Jansen, O., Algra, A., Bamford, J., Beard, J., Bland, M., Bradbury, A.W., Brown, M.M., Clifton, A., Gaines, P., Hacke, W., Halliday, A., Malik, I., Mas, J.-L., McGuire, A.J., Sidhu, P., Venables, G. |
author_sort | calvet, david |
container_issue | 2 |
container_start_page | 527 |
container_title | Stroke |
container_volume | 45 |
description | <jats:sec> <jats:title>Background and Purpose—</jats:title> <jats:p>Randomized clinical trials show higher 30-day risk of stroke or death after carotid artery stenting compared with surgery. We examined whether operator experience is associated with 30-day risk of stroke or death in the Carotid Stenting Trialists’ Collaboration database.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods—</jats:title> <jats:p>The Carotid Stenting Trialists’ Collaboration is a pooled individual patient database including all patients recruited in 3 randomized trials of stenting versus endarterectomy for symptomatic carotid stenosis (Endarterectomy Versus Angioplasty in patients with Symptomatic Severe Carotid Stenosis trial, Stent-Protected Angioplasty versus Carotid Endarterectomy trial, and International Carotid Stenting Study). Lifetime carotid artery stenting experience, lifetime experience in stenting procedures excluding the carotid, and annual number of procedures performed within the trial (in-trial volume), divided into tertiles, were used to measure operator experience. The outcome event was the occurrence of any stroke or death within 30 days of the procedure. The analysis was done per protocol.</jats:p> </jats:sec> <jats:sec> <jats:title>Results—</jats:title> <jats:p> Among 1546 patients who underwent carotid artery stenting, 120 (7.8%) had a stroke or death within 30 days of the procedure. The 30-day risk of stroke or death did not differ according to operator lifetime carotid artery stenting experience ( <jats:italic>P</jats:italic> =0.8) or operator lifetime stenting experience excluding the carotid ( <jats:italic>P</jats:italic> =0.7). In contrast, the 30-day risk of stroke or death was significantly higher in patients treated by operators with low (mean ≤3.2 procedures/y; risk 10.1%; adjusted risk ratio=2.30 [1.36–3.87]) and intermediate annual in-trial volumes (3.2–5.6 procedures/y; 8.4%; adjusted risk ratio=1.93 [1.14–3.27]) compared with patients treated by high annual in-trial volume operators (>5.6 procedures/y; 5.1%). </jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions—</jats:title> <jats:p>Carotid stenting should only be performed by operators with annual procedure volume ≥6 cases per year.</jats:p> </jats:sec> |
doi_str_mv | 10.1161/strokeaha.113.003526 |
facet_avail | Online, Free |
finc_class_facet | Medizin |
format | ElectronicArticle |
format_de105 | Article, E-Article |
format_de14 | Article, E-Article |
format_de15 | Article, E-Article |
format_de520 | Article, E-Article |
format_de540 | Article, E-Article |
format_dech1 | Article, E-Article |
format_ded117 | Article, E-Article |
format_degla1 | E-Article |
format_del152 | Buch |
format_del189 | Article, E-Article |
format_dezi4 | Article |
format_dezwi2 | Article, E-Article |
format_finc | Article, E-Article |
format_nrw | Article, E-Article |
geogr_code | not assigned |
geogr_code_person | not assigned |
id | ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTE2MS9zdHJva2VhaGEuMTEzLjAwMzUyNg |
imprint | Ovid Technologies (Wolters Kluwer Health), 2014 |
imprint_str_mv | Ovid Technologies (Wolters Kluwer Health), 2014 |
institution | DE-L229, DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161, DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1 |
issn | 0039-2499, 1524-4628 |
issn_str_mv | 0039-2499, 1524-4628 |
language | English |
last_indexed | 2024-03-01T17:34:53.927Z |
match_str | calvet2014carotidstentingisthereanoperatoreffectapooledanalysisfromthecarotidstentingtrialistscollaborationisthereanoperatoreffectapooledanalysisfromthecarotidstentingtrialistscollaboration |
mega_collection | Ovid Technologies (Wolters Kluwer Health) (CrossRef) |
physical | 527-532 |
publishDate | 2014 |
publishDateSort | 2014 |
publisher | Ovid Technologies (Wolters Kluwer Health) |
record_format | ai |
recordtype | ai |
series | Stroke |
source_id | 49 |
spelling | Calvet, David Mas, Jean-Louis Algra, Ale Becquemin, Jean-Pierre Bonati, Leo H. Dobson, Joanna Fraedrich, Gustav Jansen, Olav Mali, Willem P. Ringleb, Peter A. Chatellier, Gilles Brown, Martin M. Calvet, D. Mas, J.-L. Algra, A. Becquemin, J.-P. Bonati, L.H. Dobson, J. Fraedrich, G. Jansen, O. Mali, W.P. Ringleb, P.A. Chatellier, G. Brown, M.M. Algra, A. Becquemin, J.P. Chatellier, G. Mas, J.-L. Fraedrich, G. Ringleb, P.A. Jansen, O. Bonati, L. H. Brown, M. M. Mali, W. P. Mas, J.-L. Chatellier, G. Becquemin, J.-P. Bonneville, J.-F. Branchereau, A. Crochet, D. Gaux, J. C. Larrue, V. Leys, D. Watelet, J. Hacke, W. Hennerici, M. Allenberg, J.R. Maurer, P.C. Eckstein, H.-H. Zeumer, H. Jansen, O. Algra, A. Bamford, J. Beard, J. Bland, M. Bradbury, A.W. Brown, M.M. Clifton, A. Gaines, P. Hacke, W. Halliday, A. Malik, I. Mas, J.-L. McGuire, A.J. Sidhu, P. Venables, G. 0039-2499 1524-4628 Ovid Technologies (Wolters Kluwer Health) Advanced and Specialized Nursing Cardiology and Cardiovascular Medicine Neurology (clinical) http://dx.doi.org/10.1161/strokeaha.113.003526 <jats:sec> <jats:title>Background and Purpose—</jats:title> <jats:p>Randomized clinical trials show higher 30-day risk of stroke or death after carotid artery stenting compared with surgery. We examined whether operator experience is associated with 30-day risk of stroke or death in the Carotid Stenting Trialists’ Collaboration database.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods—</jats:title> <jats:p>The Carotid Stenting Trialists’ Collaboration is a pooled individual patient database including all patients recruited in 3 randomized trials of stenting versus endarterectomy for symptomatic carotid stenosis (Endarterectomy Versus Angioplasty in patients with Symptomatic Severe Carotid Stenosis trial, Stent-Protected Angioplasty versus Carotid Endarterectomy trial, and International Carotid Stenting Study). Lifetime carotid artery stenting experience, lifetime experience in stenting procedures excluding the carotid, and annual number of procedures performed within the trial (in-trial volume), divided into tertiles, were used to measure operator experience. The outcome event was the occurrence of any stroke or death within 30 days of the procedure. The analysis was done per protocol.</jats:p> </jats:sec> <jats:sec> <jats:title>Results—</jats:title> <jats:p> Among 1546 patients who underwent carotid artery stenting, 120 (7.8%) had a stroke or death within 30 days of the procedure. The 30-day risk of stroke or death did not differ according to operator lifetime carotid artery stenting experience ( <jats:italic>P</jats:italic> =0.8) or operator lifetime stenting experience excluding the carotid ( <jats:italic>P</jats:italic> =0.7). In contrast, the 30-day risk of stroke or death was significantly higher in patients treated by operators with low (mean ≤3.2 procedures/y; risk 10.1%; adjusted risk ratio=2.30 [1.36–3.87]) and intermediate annual in-trial volumes (3.2–5.6 procedures/y; 8.4%; adjusted risk ratio=1.93 [1.14–3.27]) compared with patients treated by high annual in-trial volume operators (>5.6 procedures/y; 5.1%). </jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions—</jats:title> <jats:p>Carotid stenting should only be performed by operators with annual procedure volume ≥6 cases per year.</jats:p> </jats:sec> Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration Stroke |
spellingShingle | Calvet, David, Mas, Jean-Louis, Algra, Ale, Becquemin, Jean-Pierre, Bonati, Leo H., Dobson, Joanna, Fraedrich, Gustav, Jansen, Olav, Mali, Willem P., Ringleb, Peter A., Chatellier, Gilles, Brown, Martin M., Calvet, D., Mas, J.-L., Algra, A., Becquemin, J.-P., Bonati, L.H., Dobson, J., Fraedrich, G., Jansen, O., Mali, W.P., Ringleb, P.A., Chatellier, G., Brown, M.M., Algra, A., Becquemin, J.P., Chatellier, G., Mas, J.-L., Fraedrich, G., Ringleb, P.A., Jansen, O., Bonati, L. H., Brown, M. M., Mali, W. P., Mas, J.-L., Chatellier, G., Becquemin, J.-P., Bonneville, J.-F., Branchereau, A., Crochet, D., Gaux, J. C., Larrue, V., Leys, D., Watelet, J., Hacke, W., Hennerici, M., Allenberg, J.R., Maurer, P.C., Eckstein, H.-H., Zeumer, H., Jansen, O., Algra, A., Bamford, J., Beard, J., Bland, M., Bradbury, A.W., Brown, M.M., Clifton, A., Gaines, P., Hacke, W., Halliday, A., Malik, I., Mas, J.-L., McGuire, A.J., Sidhu, P., Venables, G., Stroke, Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration, Advanced and Specialized Nursing, Cardiology and Cardiovascular Medicine, Neurology (clinical) |
title | Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_full | Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_fullStr | Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_full_unstemmed | Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_short | Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_sort | carotid stenting : is there an operator effect? a pooled analysis from the carotid stenting trialists’ collaboration |
title_sub | Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
title_unstemmed | Carotid Stenting : Is There an Operator Effect? A Pooled Analysis From the Carotid Stenting Trialists’ Collaboration |
topic | Advanced and Specialized Nursing, Cardiology and Cardiovascular Medicine, Neurology (clinical) |
url | http://dx.doi.org/10.1161/strokeaha.113.003526 |