“Better” (sometimes) in vascular disease management

Slides:

Advertisements

Similar presentations

Clinical evaluation of recombinant human platelet – derived growth factor for the treatment of lower extremity diabetic ulcers David L. Steed, MD, the.

Advertisements

Without prejudice Journal of Vascular Surgery

National trends in venous disease

Too small to fail: The prisoner's dilemma

A patient with multiple paradoxical emboli

The constitutive procoagulant and hypofibrinolytic state in patients with intermittent claudication due to infrainguinal disease significantly improves.

Society for Vascular Surgery (SVS) Vascular Registry evaluation of comparative effectiveness of carotid revascularization procedures stratified by Medicare.

The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and.

One-year prospective quality-of-life outcomes in patients treated with angioplasty for symptomatic peripheral arterial disease Corey A. Kalbaugh, MS,

Prospective multicenter study of quality of life before and after lower extremity vein bypass in 1404 patients with critical limb ischemia Louis L. Nguyen,

A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients Philip P. Goodney,

Characteristics that define high risk in carotid endarterectomy from the Vascular Study Group of New England Lindsay Gates, MD, Robert Botta, MD, Felix.

Ali F. AbuRahma, MD, J. David Hayes, MD, Sarah K

National trends in utilization and postprocedure outcomes for carotid artery revascularization 2005 to 2007 Mohammad H. Eslami, MD, James T. McPhee,

Breakthrough: Arthur Blakemore and Arthur Voorhees, Jr

Ali F. AbuRahma, MD Journal of Vascular Surgery

Louis L. Nguyen, MD, MBA, MPH Journal of Vascular Surgery

Peter Gloviczki, MD Journal of Vascular Surgery

Lowell S. Kabnick, MD Journal of Vascular Surgery

Todd R. Vogel, MD, MPH, Viktor Y. Dombrovskiy, MD, PhD, MPH, Paul B

Tommaso Lupattelli, MD, Giovanni Nano, MD, Luigi Inglese, MD

Without prejudice Journal of Vascular Surgery

Gary R. Seabrook, MD Journal of Vascular Surgery

Endovenous ablation of incompetent perforating veins is effective treatment for recalcitrant venous ulcers Peter F. Lawrence, MD, Ali Alktaifi, MD, David.

Dartmouth Atlas of Vascular Health Care review: Impact of hospital volume, surgeon volume, and training on outcome Thomas S. Huber, MD, PhD, James M.

Infected aneurysm of the thoracic aorta

Changing demographics in patients with vascular disease

The best of times, the worst of times…

Radiation physics Journal of Vascular Surgery

Aikaterini A. Angeli, MD, Dimitra A. Angeli, MD, Chryssanthi A

The future of vascular surgery

Chetan P. Huded, MD, Philip P. Goodney, MD, Richard J

Effect of hospital-level variation in the use of carotid artery stenting versus carotid endarterectomy on perioperative stroke and death in asymptomatic.

Hui Cai, Jian-Lin Liu Journal of Vascular Surgery

Marc L. Schermerhorn, MD, Kristina A. Giles, MD, Allen D

Long-term postplacement cost after endovascular aneurysm repair

Nitinol stenting improves primary patency of the superficial femoral artery after percutaneous transluminal angioplasty in hemodialysis patients: A propensity-matched.

Balloon angioplasty for revision of failing lower extremity bypass grafts Haitham Ali, MD, Ahmed Elbadawy, MD, Mahmoud Saleh, MD, Ayman Hasaballah, MD

Prathima Nandivada, MD, Kiran H

Toshifumi Kudo, MD, PhD, Fiona A. Chandra, Samuel S. Ahn, MD

The Society for Vascular Surgery: Built to last

Todd R. Vogel, MD, MPH, Robin L. Kruse, PhD

Long-term results of combined common femoral endarterectomy and iliac stenting/stent grafting for occlusive disease Robert W. Chang, MD, Philip P. Goodney,

Physician specialty and variation in carotid revascularization technique selected for Medicare patients Jessica B. Wallaert, MD, MS, Brian W. Nolan,

The risk of carotid artery stenting compared with carotid endarterectomy is greatest in patients treated within 7 days of symptoms Barbara Rantner, MD,

Soma Brahmanandam, MD, MPH, Eric L. Ding, ScD, Michael S

Durability of percutaneous transluminal angioplasty for obstructive lesions of proximal subclavian artery: Long-term results Jean-Paul P.M. de Vries,

Lower extremity bypass vs endovascular therapy for young patients with symptomatic peripheral arterial disease Mauri J.A. Lepäntalo, MD, Rabih Houbballah,

Reviewer Acknowledgment

Philip P. Goodney, MD, MS, Adam W. Beck, MD, Jan Nagle, MS, RPh, H

David L. Dawson, MD, Jennifer Meyer, RCIS, Eugene S

Incidence and clinical significance of distal embolization during percutaneous interventions involving the superficial femoral artery Russell C. Lam,

Manish Mehta, MD, MPH, Yi Zhou, MD, Philip S. K

Society for Vascular Surgery Vascular Registry evaluation of stent cell design on carotid artery stenting outcomes Jeffrey Jim, MD, Brian G. Rubin, MD,

Endovascular repair of an acute blunt popliteal artery injury

Prevention of radiation injury from medical imaging

Gregory C. Schmieder, MD, Megan Carroll, BA, BS, Jean M. Panneton, MD

James E. Edwards, MD, Lloyd M. Taylor, MD, John M. Porter, MD

FT04. “The Vein Is Screwed” Proof of Concept of the VeinScrew: A New Percutaneous Venous Closure Device Doeke Boersma, MD, Frans Moll, MD, PhD, Gert Jan.

Should patient age be a consideration in carotid endarterectomy?

The care of the patient with vascular disease

Age differential between outcomes of carotid angioplasty and stent placement and carotid endarterectomy in general practice Rakesh Khatri, MD, Saqib.

A comparative analysis of the outcomes of carotid stenting and carotid endarterectomy in women Paola De Rango, MD, Gianbattista Parlani, MD, Valeria.

Theodore H. Yuo, MD, MS, Joseph Sidaoui, MD, Luke K

Emily Spangler, Robert W. Chang, Philip P. Goodney

Results of a single center vascular screening and education program

Stroke and death after carotid endarterectomy and carotid artery stenting with and without high risk criteria Kristina A. Giles, MD, Allen D. Hamdan,

Renin-angiotensin-aldosterone-system inhibition is safe in the preoperative period surrounding carotid endarterectomy Andrea M. Steely, MD, Peter W.

Prospective randomized study evaluating an absorbable cyanoacrylate for use in vascular reconstructions Alan B. Lumsden, MD, Eugene R. Heyman, PhD Journal.

Carotid artery stenting has increased rates of postprocedure stroke, death, and resource utilization than does carotid endarterectomy in the United States,

Presentation transcript:

“Better” (sometimes) in vascular disease management Peter F. Lawrence, MD Journal of Vascular Surgery Volume 63, Issue 1, Pages 260-269 (January 2016) DOI: 10.1016/j.jvs.2015.10.022 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Carotid endarterectomy per 1000 Medicare patients (1995-1996). Adapted with permission from “The Quality of Medical Care in the United States: A Report on the Medicare Program. The Dartmouth Atlas of Health Care 1999.” The Center for the Evaluative Clinical Sciences Dartmouth Medical School. Journal of Vascular Surgery 2016 63, 260-269DOI: (10.1016/j.jvs.2015.10.022) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Venous procedures performed in the U.S. (1996-2014). Journal of Vascular Surgery 2016 63, 260-269DOI: (10.1016/j.jvs.2015.10.022) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Lower extremity atherectomies, percent performed as office-based procedures (2011-2014). Collection of data began in 2011. Journal of Vascular Surgery 2016 63, 260-269DOI: (10.1016/j.jvs.2015.10.022) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 Lower extremity venous stents (femoral-popliteal), percent performed as office-based procedure (2011-2014). Collection of data began in 2011. Journal of Vascular Surgery 2016 63, 260-269DOI: (10.1016/j.jvs.2015.10.022) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 5 Percentage of percutaneous transluminal angioplasty vein procedures performed by specialty (2007-2014). Journal of Vascular Surgery 2016 63, 260-269DOI: (10.1016/j.jvs.2015.10.022) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 6 Quality measures utilized at UCLA. Journal of Vascular Surgery 2016 63, 260-269DOI: (10.1016/j.jvs.2015.10.022) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 7 Example: Center Opportunity for Improvement (COPI) report given to a center participating in Vascular Quality Initiative (VQI). Journal of Vascular Surgery 2016 63, 260-269DOI: (10.1016/j.jvs.2015.10.022) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 8 Proposed Center Appropriateness Improvement (CAPI) report. VQI, Vascular Quality Initiative. Journal of Vascular Surgery 2016 63, 260-269DOI: (10.1016/j.jvs.2015.10.022) Copyright © 2016 Society for Vascular Surgery Terms and Conditions