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Virtually all of the cardiologists who responded to the survey said it would be a mistake to take angioplasty's safety Foamposite Red October for granted. For instance, 96 percent said each hospital's angioplasty performance should be tracked and the results publicly reported. The cardiologists were also nearly unanimous in their view that hospitals with poor results should be required to improve, or lose their state certification to perform angioplasty.
"I think that's exactly right," says Aversano. "It validates what New Jersey and New York have been doing for years monitoring and reporting outcomes for angioplasty and bypass surgery. It helps to rein in the cowboys."
News World Report so long, that is, as the hospitals meet key criteria for proficiency. Their responses echo a study released last month at an American Heart Association meeting concluding that patients who had elective angioplasty at hospitals without a heart surgeon on tap fared as well Nike Mag Iron Man
1 percent both at hospitals with and without backup heart surgery. News and Castle Connolly Medical Ltd. About 5,200 cardiologists are board certified as interventional cardiologists, who perform angioplasties and other heart procedures through thin tubes threaded through a blood vessel, according to the Society for Cardiovascular Angiography and Interventions. A total of 350 cardiologists responded to the 10 question survey; two thirds responded that angioplasty can be done safely and effectively without surgical backup. Of all the cardiologists who responded to the Nike Basketball Shoes Myntra
His study involved more than 18,000 elective angioplasty patients who were assigned at random to centers with and without on site heart surgery. Three fourths of the patients were treated at centers without heart surgery to make sure each center treated enough patients to provide high quality care. All of the hospitals performed at least 200 angioplasties a year. (Current American Heart Association American College of Cardiology guidelines recommend that hospitals performing angioplasties do more than 400 cases a year.) With few exceptions, the patients were typical of those who generally get angioplasty.
survey, only a third said they believe the goal is to expand access to areas where angioplasty isn't available. Nearly half said it's about the bottom line.
as patients treated at hospitals with heart surgery suites.
The AHA study, led by Johns Hopkins cardiologist Thomas Aversano, found that death rates for nonemergency angioplasty procedures were just under Nike Foamposite Black And Blue
Cardiologists Say Patients Can Safely Get Angioplasty Without Surgeons on Site
"I believe that much of this is fueled by greed, not need," says University of Michigan cardiologist Kim Eagle, especially with fewer patients seeking angioplasty because cholesterol lowering drugs and other preventive therapies have reduced the need. "By making angioplasty available at every hospital in the nation, we will not only drive up costs, we will reduce quality due to exposing patients to unnecessary, risky procedures."
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