Trends in the utilization of endovascular therapy for elective and ruptured abdominal aortic aneurysm procedures in Canada  Prasad Jetty, MD, Don Husereau,

Slides:



Advertisements
Similar presentations
British Columbia Immigration Source: Citizenship and Immigration Canada Facts and Figures Immigration Overview Annual Number of Immigrants to British.
Advertisements

CONFEDERATION of Canada.
Canada. New Brunswick Newfoundland Northwest Ter Nunavut Ontario Prince Edward Is. Quebec Saskatchewan Yukon Alberta British Columbia Manitoba Nova.
Surgical Procedures in Wait Time Priority Areas as a Proportion of the Total, 2005–2006 Sources: CIHI, Surgical Volume Trends Within and Beyond Wait Time.
In patients stratified by preoperative risk, endovascular repair of ruptured abdominal aortic aneurysms has a lower in-hospital mortality and morbidity.
To what extent has endovascular aneurysm repair influenced abdominal aortic aneurysm management in the state of Illinois?  Luis R. Leon, MD, RVT, Nicos.
Victor J. Davila, MD, William Stone, MD, Audra A
Age-related trends in utilization and outcome of open and endovascular repair for abdominal aortic aneurysm in the United States,   Margaret.
Comparative effectiveness of endovascular versus open repair of ruptured abdominal aortic aneurysm in the Medicare population  Samuel T. Edwards, MD,
The Cardiovascular Fellows Bootcamp
Rupture rates of untreated large abdominal aortic aneurysms in patients unfit for elective repair  Fran Parkinson, MB BCh, Stuart Ferguson, MB BChir,
Abdominal compartment syndrome associated with endovascular and open repair of ruptured abdominal aortic aneurysms  Chen Rubenstein, MD, Gabriel Bietz,
Decrease in total aneurysm-related deaths in the era of endovascular aneurysm repair  Kristina A. Giles, MD, Frank Pomposelli, MD, Allen Hamdan, MD, Mark.
Effect of type II endoleaks and antiplatelet therapy on abdominal aortic aneurysm shrinkage after endovascular repair  Atsushi Aoki, MD, Takanori Suezawa,
The impact of body mass index on perioperative outcomes of open and endovascular abdominal aortic aneurysm repair from the National Surgical Quality Improvement.
Deep venous thrombosis after repair of nonruptured abdominal aneurysm
Randall R. De Martino, MD, MS, Philip P. Goodney, MD, MS, Brian W
Endovascular repair of abdominal aortic aneurysm in octogenarians: An analysis based on EUROSTAR data  Conrad Lange, MD, Lina J. Leurs, MSc, Jaap Buth,
Prior endovascular abdominal aortic aneurysm repair provides no survival benefits when the aneurysm ruptures  Jae-Sung Cho, MD, Taeyoung Park, PhD, Jang.
A decade of change in abdominal aortic aneurysm repair in the United States: Have we improved outcomes equally between men and women?  Ellen D. Dillavou,
Patrice Nault, MD, Camille Brisson-Tessier, Denis Hamel, MSc, Laurie J
In patients stratified by preoperative risk, endovascular repair of ruptured abdominal aortic aneurysms has a lower in-hospital mortality and morbidity.
Clinical presentation, comorbidities, and age but not female gender predict survival after endovascular repair of abdominal aortic aneurysm  Peter Gloviczki,
Endovascular abdominal aortic aneurysm repair: Long-term outcome measures in patients at high-risk for open surgery  Gregorio A. Sicard, MD, Robert M.
Jonathan Misskey, MD, Meric Osman, MSc, David Kopriva, MDCM, FRCS(C) 
Resident and fellow experiences after the introduction of endovascular aneurysm repair for abdominal aortic aneurysm  Teviah Sachs, MD, Marc Schermerhorn,
Questions remain about quality of life after abdominal aortic aneurysm repair  George Peach, MRCS, Peter Holt, PhD, FRCS, Ian Loftus, MD, FRCS, Matt M.
Durability and survival are similar after elective endovascular and open repair of abdominal aortic aneurysms in younger patients  Kevin Lee, MD, Elaine.
The natural history of type II endoleaks after endovascular aneurysm repair for ruptured abdominal aortic aneurysm  Anna E. Boniakowski, MD, Randall R.
The Cardiovascular Fellows Bootcamp
Aneurysms don't have borders
Elective endovascular and open repair of abdominal aortic aneurysms in octogenarians  David Paolini, MD, Santiago Chahwan, MD, Dennis Wojnarowski, BA,
Carbon dioxide digital subtraction angiography as an option for detection of endoleaks in endovascular abdominal aortic aneurysm repair procedure  Eijun.
Comparison of the impact of open and endovascular abdominal aortic aneurysm repair on renal function  Athanasios Saratzis, MBBS, MRCS, PhD, Pantelis Sarafidis,
Kenneth Ouriel, MD, Daniel G. Clair, MD, K
National outcomes for the treatment of ruptured abdominal aortic aneurysm: Comparison of open versus endovascular repairs  Natalia Egorova, PhD, Jeannine.
Long-term outcomes and resource utilization of endovascular versus open repair of abdominal aortic aneurysms in Ontario  Prasad Jetty, MD, MSc, FRCSC,
Improved survival after introduction of an emergency endovascular therapy protocol for ruptured abdominal aortic aneurysms  Randy Moore, MD, FRCSC, Mark.
Increasing Mortality Trends for Open Infrarenal and Thoracoabdominal Aneurysm Repairs in the Endovascular Era  Brendan M. Levac, S. Nagpal, George Hajjar,
Population-based analysis of inpatient vascular procedures and predicting future workload and implications for training  Jeffrey Jim, MD, Pamela L. Owens,
Paul E. Norman, MD, Katrina Spilsbury, PhD, James B. Semmens, PhD 
Endovascular repair of ruptured abdominal aortic aneurysms does not reduce later mortality compared with open repair  William P. Robinson, MD, Andres.
Trends in abdominal aortic aneurysm repair in the era of endovascular technology in Ontario  Abdulmajeed Altoijry, MD, Muhammad Mamdani, PharmD, MA, MPH,
Regarding “Endovascular repair of ruptured abdominal aortic aneurysms”
Significant regional variation exists in morbidity and mortality after repair of abdominal aortic aneurysm  Sara L. Zettervall, MD, MPH, Peter A. Soden,
Adam W. Beck, MD, Philip P. Goodney, MD, Brian W. Nolan, MD, Donald S
Prospective follow-up of sexual function after elective repair of abdominal aortic aneurysms using open and endovascular techniques  Monica Pettersson,
Effect of gender on long-term survival after abdominal aortic aneurysm repair based on results from the Medicare national database  Natalia N. Egorova,
Trends of 30-day mortality and morbidities in endovascular repair of intact abdominal aortic aneurysm during the last decade  Kanhua Yin, MD, Satinderjit.
Trends in management of abdominal aortic aneurysms
Seth A. Waits, MD, Kyle H. Sheetz, MS, Darrell A. Campbell, MD, Amir A
Endovascular treatment of ruptured abdominal aortic aneurysms in the United States ( ): A significant survival benefit over open repair is independently.
Ruptured abdominal aortic aneurysm: A population-based study
To what extent has endovascular aneurysm repair influenced abdominal aortic aneurysm management in the state of Illinois?  Luis R. Leon, MD, RVT, Nicos.
Regarding “Lunar cycles and abdominal aortic aneurysm rupture”
Journal of Vascular Surgery
Endovascular versus open surgical repair of abdominal aortic aneurysm with concomitant malignancy  Massimo Porcellini, MD, Piero Nastro, MD, MRCS, Umberto.
The Impact of Statins on Abdominal Aortic Aneurysm Growth, Rupture, and Perioperative Outcomes: A Systematic Review and Meta-Analysis  Konrad Salata,
Secondary interventions following endovascular abdominal aortic aneurysm repair using current endografts. A EUROSTAR report  Roel Hobo, MSc, Jacob Buth,
Andrew J. Soo Hoo, MD, Kellie R. Brown, MD, Brian D
Abdominal aortic aneurysm prefers to rupture on a dim day
Women derive less benefit from elective endovascular aneurysm repair than men  Manish Mehta, MD, MPH, W. John Byrne, MCh, FRCSI(Gen), Handel Robinson,
Expanding use of emergency endovascular repair for ruptured abdominal aortic aneurysms: Disparities in outcomes from a nationwide perspective  Kelly Lesperance,
Thomas L. Forbes, MD, Gregory E.J. Harding, MD 
Outcomes after endovascular abdominal aortic aneurysm repair are equivalent between genders despite anatomic differences in women  Luc Dubois, MD, MSc,
Gender differences in abdominal aortic aneurysm presentation, repair, and mortality in the Vascular Study Group of New England  Ruby C. Lo, MD, Rodney.
Deep venous thrombosis after repair of nonruptured abdominal aneurysm
Effect of type II endoleaks and antiplatelet therapy on abdominal aortic aneurysm shrinkage after endovascular repair  Atsushi Aoki, MD, Takanori Suezawa,
Reconsidering gender relative to risk of rupture in the contemporary management of abdominal aortic aneurysms  Afshin A. Skibba, MD, James R. Evans, MD,
Endovascular vs open repair for ruptured abdominal aortic aneurysm
Presentation transcript:

Trends in the utilization of endovascular therapy for elective and ruptured abdominal aortic aneurysm procedures in Canada  Prasad Jetty, MD, Don Husereau, BScPharm, MSc  Journal of Vascular Surgery  Volume 56, Issue 6, Pages 1518-1526.e1 (December 2012) DOI: 10.1016/j.jvs.2012.05.102 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Distribution of all abdominal aortic aneurysm (AAA) procedures performed from 2005 to 2009 by province. Procedures performed in Ontario (represented in red) accounted for 48% of all procedures performed in Canada. Journal of Vascular Surgery 2012 56, 1518-1526.e1DOI: (10.1016/j.jvs.2012.05.102) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Total number of elective endovascular aneurysm repairs (EVARs) and open aortic aneurysm repairs by fiscal year. The horizontal axis presents the year of study. The vertical axis presents the total number of elective abdominal aortic aneurysm (AAA) procedures in Canada. Open repairs are presented in blue. Journal of Vascular Surgery 2012 56, 1518-1526.e1DOI: (10.1016/j.jvs.2012.05.102) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Abdominal aortic aneurysm (AAA) procedure rates in Canada per 100,000 population over 65 years of age. Total repairs are represented by the green line; endovascular aneurysm repair (EVAR) is represented by the red line; and open repair represented by the blue line. Journal of Vascular Surgery 2012 56, 1518-1526.e1DOI: (10.1016/j.jvs.2012.05.102) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 Abdominal aortic aneurysm (AAA) procedure rates in the Atlantic Provinces compared with the national rates per 100,000 population over 65 years of age. Canada, red line; Newfoundland, burgundy line; New Brunswick, blue line; Prince Edward Island; green line; Nova Scotia, purple line. Journal of Vascular Surgery 2012 56, 1518-1526.e1DOI: (10.1016/j.jvs.2012.05.102) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 Abdominal aortic aneurysm (AAA) procedure rates in the provinces outside of Atlantic Canada compared with the national rates per 100,000 population over 65 years of age. Canada, red line; Ontario, orange line; Manitoba, blue line; Saskatchewan, peach line; Alberta, green line; British Columbia, purple line. Journal of Vascular Surgery 2012 56, 1518-1526.e1DOI: (10.1016/j.jvs.2012.05.102) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 6 Endovascular aneurysm repair (EVAR) for nonruptured abdominal aortic aneurysm (AAA) in Canada per 100,000 population over 65 years of age. Canada, red line; Newfoundland, square/silver line; Prince Edward Island, triangle/green line; Nova Scotia, cross/purple line; New Brunswick, cross-dash/blue line; Ontario, circle/orange line; Manitoba, dash/purple line; Saskatchewan, no symbol/pink line; Alberta, square/red line; British Columbia, rhombus/purple line. Journal of Vascular Surgery 2012 56, 1518-1526.e1DOI: (10.1016/j.jvs.2012.05.102) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 7 Ruptured abdominal aortic aneurysm (RAAA) procedure rates in Canada per 100,000 population over 65 years of age. The y axis refers to the number of RAAA procedures per 100,000 population >65 (red area represents endovascular repair of RAAA and blue area represents open RAAA repair). Journal of Vascular Surgery 2012 56, 1518-1526.e1DOI: (10.1016/j.jvs.2012.05.102) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 8 Ruptured abdominal aortic aneurysm (RAAA) rates in the Atlantic Provinces per 100,000 population over 65 years of age. Canada, red line; Newfoundland, square/burgundy line; Prince Edward Island, triangle/green line; Nova Scotia, cross/purple line; New Brunswick, cross-dash/blue line. Journal of Vascular Surgery 2012 56, 1518-1526.e1DOI: (10.1016/j.jvs.2012.05.102) Copyright © 2012 Society for Vascular Surgery Terms and Conditions