Outcomes 2019 - Baylor Scott & White Heart and Vascular Hospital BSWHHVH_646_2019 Outcomes JOOMAG MOD | Page 38

38
Diagnostic testing
To diagnose carotid artery disease, Baylor Scott
& White Heart and Vascular Hospital – Dallas
offers tests including carotid ultrasound, carotid
angiography and computed tomography
angiography (CT angiography). CT angiography
allows vascular surgeons to visualize the carotid
arteries and may include the use of contrast dye.
Transcarotid artery revascularization
(TCAR)
Carotid endarterectomy (CEA)
Courtesy of Silk Road Medical
TCAR procedures
(FY19)
At Baylor Scott & White Heart and Vascular
Hospital – Dallas, vascular surgeons on the
hospital’s medical staff diagnose and treat
patients who may need surgical intervention
for atherosclerotic plaque buildup in the carotid
arteries. The main treatment for plaque buildup
is carotid endarterectomy (CEA).
Patients unable to undergo CEA for various
medical reasons may benefit from another
procedure, carotid angioplasty and stenting, to
restore blood flow and cover the obstructing
plaque. Vascular surgeons on the medical staff
at the hospital have been involved in years of
research and clinical studies related to carotid
stenting devices and techniques.
Expected BSWHVH
- Dallas
observed
Carotid endarterectomy:
stroke or death in hospital 1.4% 0%
Carotid artery stent:
stroke or death in hospital 2.5% 1.7%
Source: Spring 2019 VQI Report of procedures performed between January 1, 2018 and
December 31, 2018.
78
Vascular surgeons on the hospital’s medical
staff are in a small group of surgeons nationwide
trained in Transcarotid artery revascularization
(TCAR). TCAR combines the safety and reliability
of open carotid endarterectomy with the
minimally invasive features of carotid stenting.
Baylor Scott & White Heart and Vascular
Hospital – Dallas is one of the highest volume
TCAR sites in the nation. As such, it has become
a TCAR training site for vascular surgeons
from around the country. Patient outcomes
continue to be promising as noted in a study*
presented at the Society for Vascular Surgeons
annual conference. Overall results appear to be
better than traditional carotid endarterectomy
and carotid surgery with the greatly reduced
potential of strokes and myocardial infarctions.
Based on these results, TCAR may well prove
to be the appropriate treatment of choice for
carotid disease patients.
TOP 20 Program in the US
by volume
*ROADSTER Study J Vasc Surg 2015; 62:1227-35