39
Outcomes published in the most recent regional quality report for calendar year 2019 procedures included the following , which indicates the hospital performed better than the expected and the region observed rates :
VQI overall
Region
BSWHVH expected
BSWHVH observed
Non-ruptured open AAA : in-hospital mortality n / a n / a 2.1 % 0 % Carotid endarterectomy : stroke or death in hospital 1.9 % 1.6 % 2.7 % 0 % Transfemoral carotid artery stent : stroke or death in hospital 1.6 % 2.0 % 3.2 % 0 % Carotid endarterectomy : percentage of patients with LOS > 1 day 26 % 29 % 29 % 24 % Endovascular AAA repair : percentage of patients with LOS > 2 days n / a n / a 14 % 12 %
Procedures performed between Jan . 1 , 2019 and Dec . 31 , 2019 .
THORACIC OUTLET SYNDROME : FIRST RIB RESECTION
Baylor Scott & White Heart and Vascular Hospital – Dallas is one of the nation ’ s leading treatment centers for thoracic outlet syndrome ( TOS )— a condition where the nerve , artery and vein between the lower neck and upper chest become compressed , causing pain , numbness and weakness in the upper extremity . Patients who live with daily disabling symptoms secondary to TOS are offered relief with first rib resection , a surgical procedure offered at Baylor Scott & White Heart and Vascular Hospital – Dallas . The first rib resection procedure involves removing part of the first rib , eliminating the pressure on the thoracic outlet . In some cases , blood vessels around the area will need to be rerouted ; if the vessels are extremely narrowed , angioplasty may become an option .
Types of TOS disorders and related symptoms treated by vascular surgeons on the medical staff at Baylor Scott & White Heart and Vascular Hospital – Dallas include neurogenic thoracic outlet syndrome , venous thoracic outlet syndrome and arterial thoracic outlet syndrome . These vascular surgeons perform hundreds of TOS procedures annually , seeing patients referred from across the US . First rib resection frequently results in a successful return to full activity .
Baylor Scott & White Heart and Vascular Hospital – Dallas is a nationally recognized treatment center for TOS and the program is led by Gregory J . Pearl , MD , FACS , co-medical director for vascular surgery at Baylor Scott & White Heart and Vascular Hospital – Dallas and Baylor University Medical Center .
Total TOS ( FY20 ):
265
Better than expected / observed
During fiscal year 2020 and on a continual basis , the program carefully studies outcomes , following patients for several years . With many of the patients being professional athletes from all over the United States , post-surgery rehabilitation and long-term outcomes have led to a highly regarded and nationally known program . Specifically studying and documenting the history of the program ’ s success with professional athletes , several notable presentations at national conferences in fiscal year 2020 occurred , including the Society of Vascular Surgeons annual meeting and Dr . Pearl ’ s speaking on the topic at the Major League Baseball conference for owners , coaches and athletic trainers .
VASCULAR SURGERY FELLOWSHIP
Two fellows are selected annually for the Baylor University Medical Center Vascular Surgery Fellowship Program . One of approximately 100 such programs in the country , the hospital ’ s Vascular Surgery Fellowship is nearly 55 years old , making it one of the most established and most competitive vascular surgery programs in the country . The fellowship has evolved over the years from an apprenticeship-type experience to a competencybased education , encompassing a wide array of skills , including technical , behavioral and ethical . In addition , fellows receive multi-faceted experience , including simulation , cadaver surgery , simulation surgery , and other training approaches .
Stephen Hohmann , MD , FACS , a vascular surgeon on the medical staff of Baylor Scott & White Heart and Vascular Hospital – Dallas is the current program director .
Baylor Scott & White Heart and Vascular Hospital – Dallas Vascular Surgery