UNASSIGNED: OBJECT Endovascular treatment of cerebrovascular pathology, particularly @entity439 , is becoming more prevalent. There is a wide variety in clinical background and training of physicians who treat cerebrovascular pathology through endovascular means. The impact of clinical training background on @entity1 outcomes is not well documented. METHODS The authors conducted a retrospective analysis of a large national database, the University HealthSystem Consortium, that was queried in the years 2009-2013. Cases of both @entity438 and @entity510 treated by endovascular obliteration were studied. Outcome measures of morbidity and mortality were evaluated according to the specialty of the treating physician. RESULTS Elective embolization of an unruptured @entity439 was the procedure code and primary diagnosis, respectively, for 12,400 cases. @entity1 with at least 1 complication were reported in 799 cases (6.4%). @entity204 were reported in 193 cases (1.6%). Complications and @entity204 were varied by specialty; the highest incidence of complications (11.1%) and @entity204 (3.0%) were reported by neurologists. The fewest complications were reported by neurosurgeons (5.4%; 1.4% @entity204 ), with a higher incidence of complications reported in cases performed by neurologists (p < 0.0001 for both complications and @entity204 ) and to a lesser degree interventional radiologists (p = 0.0093 for complications). @entity510 was the primary diagnosis and procedure for 8197 cases. At least 1 complication was reported in 2385 cases (29%) and @entity204 in 983 cases (12%). The number of complications and @entity204 varied among specialties. The highest incidence of complications (34%) and @entity204 (13.5%) in @entity510 was in cases performed by neurologists. The fewest complications were in cases by neurosurgeons (27%), with a higher incidence of complications in cases performed by neurologists (34%, p < 0.0001), and a trend of increased complications with interventional radiologists (30%, p < 0.0676). The lowest incidence of mortality was in cases performed by neurosurgeons (11.5%), with a significantly higher incidence of mortality in cases performed by neurologists (13.5%, p = 0.0372). Mortality rates did not reach statistical significance with respect to interventional radiologists (12.1%, p = 0.4884). CONCLUSIONS Physicians of varied training types and backgrounds use endovascular treatment of ruptured and unruptured @entity439 . In this study there was a statistically significant finding that neurosurgically trained physicians may demonstrate improved outcomes with respect to endovascular treatment of unruptured @entity439 in this cohort. This finding warrants further investigation.

Morbidity and mortality of @entity1 with endovascularly treated XXXX : does physician specialty matter?

@entity1 :: ('9606', 'Species') :: ['Patients', 'patient'] @entity510 :: ('MESH:D013345', 'Disease') :: ['Subarachnoid hemorrhage', 'subarachnoid hemorrhage'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'intracerebral aneurysms', 'aneurysm'] @entity204 :: ('MESH:D003643', 'Disease') :: ['Deaths', 'deaths'] @entity438 :: ('MESH:D002532', 'Disease') :: ['unruptured cerebral aneurysms']
@entity439 :: (MESH:D000783,Disease) :: ['intracerebral aneurysms']
