Quality Scorecard: Vascular Surgery
Carotid Artery Endarterectomy Volumes and Complication Rates
Carotid artery endarterectomy is a procedure to prevent strokes in patients who have carotid artery disease. In this condition, a substance called plaque (mostly cholesterol) has built up in the two large arteries each side of the neck which can limit blood flow to the brain and cause a stroke.
According to the Society of Vascular Surgery, carotid artery endarterectomy is one of the most commonly performed vascular operations and is a safe and long-lasting treatment. Serious post-surgery complications including stroke, heart attack and death, are rare but can occur.
To ensure the best outcome for your surgery, it’s critical to choose a surgeon who has performed a high enough volume of surgeries to ensure an excellent, up-to-date skill set and who has proven low complication rates.
What is measured?
Here you will find information on the number (volume) and complication rates of carotid artery endarterectomies performed by Tej Singh, M.D, MBA, a vascular surgeon who is also chief of Vascular Surgery and director of the Vascular Center at PAMF, with assistance from Caroline Dudley, PA-C, physician assistant. Drs. Singh and Mitchell and Dudley perform carotid artery endarterectomies at El Camino Hospital.
PAMF’s Vascular Center participates in the Society for Vascular Medicine’s Vascular Quality Initiative (VQI) that compares quality data of vascular centers across the United States. Our Vascular Center has submitted data on carotid artery endarterectomies to VQI since 2013. El Camino Hospital’s Norma Melchor Heart & Vascular Institute also collects data on these surgeries.
In 2015 Drs. Singh and Mitchell and Dudley performed 46 carotid artery endarterectomies. The Society for Vascular Surgery recommends that vascular surgeons perform a minimum of 25 carotid artery endarterectomies annually to keep their skill sets current.
In 2015 VQI data showed the following complication rates from carotid endarterectomies within 30 days of surgery of:
- 0.3 percent (Death)
- 2.1 percent (Stroke)
- 0.9 percent (Heart Attack)
At PAMF the 2015 postoperative complication rates of death, stroke and heart attack following carotid artery endarterectomies were 0 percent. This means that no patient experienced these complications after having carotid endarterectomies performed by Drs. Singh and Mitchell.