Karen L. Walker, MHS, Jonathan J. Shuster, PhD, Tomas D

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KAREN L. WALKER MS JONATHAN J. SHUSTER PHD THOMAS M. BEAVER MD, MPH DIVISION OF THORACIC AND CARDIOVASCULAR SURGERY DIVISION OF BIOSTATISTICS UNIVERSITY.

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Practice Patterns for Thoracic Aneurysms in the Stent Graft Era: Health Care System Implications Karen L. Walker, MHS, Jonathan J. Shuster, PhD, Tomas D. Martin, MD, Philip J. Hess, MD, Charles T. Klodell, MD, Robert J. Feezor, MD, Adam W. Beck, MD, Thomas M. Beaver, MD, MPH The Annals of Thoracic Surgery Volume 90, Issue 6, Pages 1833-1839 (December 2010) DOI: 10.1016/j.athoracsur.2010.08.008 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Unruptured descending thoracic aneurysm (UDTAA) repair– 2000 to 2007 (grey triangles = total repair). Rates for repair of UDTAA with open (black squares) and thoracic endovascular aortic repair (TEVAR; grey diamonds) were adjusted for US Census Bureau annual population estimates. The Annals of Thoracic Surgery 2010 90, 1833-1839DOI: (10.1016/j.athoracsur.2010.08.008) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Unruptured thoracic aneurysm diagnosis (black diamonds) and thoracic computed tomographic (CT) scan (grey squares) utilization– 2000 to 2007. Trends for unruptured thoracic aneurysm diagnosis and thoracic CT scan utilization were determined by identifying the number of unruptured thoracic aneurysms (black diamonds) and of thoracic CT scans (grey squares) coded as the principle diagnosis-procedure and adjusting with annual US Census Bureau population estimates. The Annals of Thoracic Surgery 2010 90, 1833-1839DOI: (10.1016/j.athoracsur.2010.08.008) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Age group (years) versus repair type for unruptured descending thoracic aneurysms– 2007; National Inpatient Sample cohort. Number of unruptured descending thoracic aneurysm repairs by age group and repair type (open repair [black bars] versus thoracic endovascular aortic repair [TEVAR; grey bars]) for the National Inpatient Sample 2007 cohort. The Annals of Thoracic Surgery 2010 90, 1833-1839DOI: (10.1016/j.athoracsur.2010.08.008) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Abdominal aortic aneurysm repair (AAA),1995 to 2007 (grey triangles). Trends for AAA repair rates were determined by identifying number of principle procedures coded as open repair (black diamonds) or endovascular aortic repair (EVAR; grey squares) and adjusting with annual US Census Bureau population estimates. The Annals of Thoracic Surgery 2010 90, 1833-1839DOI: (10.1016/j.athoracsur.2010.08.008) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions