HOME >> MEDICINE >> NEWS
More is better, at least in angioplasty

ANN ARBOR, Mich. -- Before patients get their clogged heart arteries re-opened, they may want to ask their doctor just how many such procedures he or she has done, a new study finds. The answer may make a big difference in each patient's risk of suffering a major setback before leaving the hospital.

In the most up-to-date analysis yet of this contentious issue, researchers from the University of Michigan Cardiovascular Center and the Blue Cross Blue Shield of Michigan Cardiovascular Consortium find that the risk of major complications from angioplasty and related procedures is much lower among patients whose doctors perform a large number of those procedures each year. The paper is published in the Journal of the American College of Cardiology.

In fact, the risk of major cardiovascular problems was 63 percent higher among patients treated by doctors who performed less than 90 procedures each year, compared with those who did more than 90.

However, the study found no difference in the risk of death before leaving the hospital among patients treated by low- and high-volume doctors. And, it found that a few doctors who performed fewer angioplasties each year still had very good patient outcomes, suggesting that "practice makes perfect" isn't the whole story for the minimally invasive procedures known as percutaneous coronary interventions (PCI).

The researchers say their data, from 18,504 artery-opening procedures done in 14 Michigan hospitals by 165 physicians during 2002, reflects current angioplasty care, including advanced clot-preventing drugs and devices called stents that hold arteries open after they're cleared. Both advances, and better technology for deploying stents within an artery, have helped make PCI procedures safer.

While previous studies using older data have shown major differences in rates of complications and death depending on how many artery-clearing procedures doctors have done, the new study suggests tha
'"/>

Contact: Kara Gavin
kegavin@umich.edu
734-764-2220
University of Michigan Health System
15-Aug-2005


Page: 1 2 3 4

Related medicine news :

1. Botulinum toxin helps facial scars heal better, Mayo Clinic finds
2. Breast CT is more comfortable than mammography and may detect tumors better, research shows
3. Alternative tobacco products: A better, safer option for smokers?
4. Older, lower income patients least likely to see a specialist for lupus
5. Study shows six-injection allergy vaccine tames hay fever for at least 2 years
6. Poor countries with least-developed health systems best able to make rapid use of grants
7. A cars middle back seat may be least desirable, but its the safest
8. National UK heart disease prevention threshold cheapest but least effective
9. Electroconvulsive therapy improves quality of life for at least six months
10. Injury prevention could save Maryland at least $700 million per year
11. Bypass surgery tops angioplasty for sickest heart patients

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:2/27/2017)... ... ... Robert E. Burke, MD, PhD, had a successful career as a pediatrician and ... have led him down a much different path. , In his book, “Beyond the ... Dr. Burke shares a personal account of the tribulations he encountered on his path ...
(Date:2/27/2017)... ... February 27, 2017 , ... The threat of nuclear warfare has long plagued ... involved in the underground testing of nuclear weapons. Years later, when her co-workers began ... the Cold War Nuclear Testing,” Clayton exposes the critical decisions made by agencies involved ...
(Date:2/27/2017)... ... February 27, 2017 , ... This webinar ... analysis as a tool to characterize particle size distributions in the field of ... results and novel scientific findings. It describes methods of optimized and standardized sample ...
(Date:2/27/2017)... ... February 27, 2017 , ... Texas based retail electric company ... Power's RCE (Residential Customer Equivalent) count exceeds 150,000. , Discount Power ... customers and 2,250 RCEs at the time of acquisition. In the three years ...
(Date:2/27/2017)... San Francisco, CA (PRWEB) , ... February 27, ... ... transplant clinic serving San Francisco and environs, is proud to announce an upgrade ... research information on the upgraded Yelp page on topics as diverse as Platelet ...
Breaking Medicine News(10 mins):
(Date:2/27/2017)... , Feb. 27, 2017   Vitasome ® ... of nutritional supplements using its groundbreaking new liposome technology. ... percent of potency through digestion per Physician,s Desk ... solve the problem of nutritional waste and are scientifically ... during digestive processes Improve bioavailability with ...
(Date:2/27/2017)... A recent research report published by Grand ... is expected to reach a value of $55.8 billion by 2025. ... 28 states have legalized marijuana for medical uses. In 2016, states ... , North Dakota , Ohio ... the drug in medical applications such as chemotherapies and pain management. ...
(Date:2/27/2017)... The Hague, The Netherlands , Feb 27, 2017 /PRNewswire/ ... Sectra Tiger/R is approved by NATO for use at ... requirements on security imposed within the NATO organization for the ... ... aimed at providing government authorities with an eavesdrop-secure smartphone solution. ...
Breaking Medicine Technology:
Cached News: