TY - JOUR
T1 - The impact of endovascular repair on specialties performing abdominal aortic aneurysm repair
AU - Ultee, Klaas H J
AU - Hurks, Rob
AU - Buck, Dominique B.
AU - Dasilva, George S.
AU - Soden, Peter A.
AU - Van Herwaarden, Joost A.
AU - Verhagen, Hence J M
AU - Schermerhorn, Marc L.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Background Abdominal aortic aneurysm (AAA) repair has been performed by various surgical specialties for many years. Endovascular aneurysm repair (EVAR) may be a disruptive technology, having an impact on which specialties care for patients with AAA. Therefore, we examined the proportion of AAA repairs performed by various specialties over time in the United States and evaluated the impact of the introduction of EVAR. Methods The Nationwide Inpatient Sample (2001-2009) was queried for intact and ruptured AAA and for open repair and EVAR. Specific procedures were used to identify vascular surgeons (VSs), cardiac surgeons (CSs), and general surgeons (GSs) as well as interventional cardiologists and interventional radiologists for states that reported unique treating physician identifiers. Annual procedure volumes were subsequently calculated for each specialty. Results We identified 108,587 EVARs and 85,080 open AAA repairs (3011 EVARs and 12,811 open repairs for ruptured AAA). VSs performed an increasing proportion of AAA repairs during the study period (52% in 2001 to 66% in 2009; P
AB - Background Abdominal aortic aneurysm (AAA) repair has been performed by various surgical specialties for many years. Endovascular aneurysm repair (EVAR) may be a disruptive technology, having an impact on which specialties care for patients with AAA. Therefore, we examined the proportion of AAA repairs performed by various specialties over time in the United States and evaluated the impact of the introduction of EVAR. Methods The Nationwide Inpatient Sample (2001-2009) was queried for intact and ruptured AAA and for open repair and EVAR. Specific procedures were used to identify vascular surgeons (VSs), cardiac surgeons (CSs), and general surgeons (GSs) as well as interventional cardiologists and interventional radiologists for states that reported unique treating physician identifiers. Annual procedure volumes were subsequently calculated for each specialty. Results We identified 108,587 EVARs and 85,080 open AAA repairs (3011 EVARs and 12,811 open repairs for ruptured AAA). VSs performed an increasing proportion of AAA repairs during the study period (52% in 2001 to 66% in 2009; P
UR - http://www.scopus.com/inward/record.url?scp=84940614541&partnerID=8YFLogxK
U2 - 10.1016/j.jvs.2015.03.042
DO - 10.1016/j.jvs.2015.03.042
M3 - Article
C2 - 25953013
AN - SCOPUS:84940614541
SN - 0741-5214
VL - 62
SP - 562-568.e3
JO - Journal of Vascular Surgery
JF - Journal of Vascular Surgery
IS - 3
ER -