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

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Presentation transcript:

Effect of hospital-level variation in the use of carotid artery stenting versus carotid endarterectomy on perioperative stroke and death in asymptomatic patients Theodore H. Yuo, MD, Howard S. Degenholtz, PhD, Rabih A. Chaer, MD, Kevin L. Kraemer, MD, MSc, Michel S. Makaroun, MD Journal of Vascular Surgery Volume 57, Issue 3, Pages 627-634 (March 2013) DOI: 10.1016/j.jvs.2012.09.036 Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 1 Selection of hospital discharge records for analysis. CAS, Carotid artery stenting; CEA, carotid endarterectomy; CR, carotid revascularization; OSHPD, California Office for Statewide Health Planning and Development. Journal of Vascular Surgery 2013 57, 627-634DOI: (10.1016/j.jvs.2012.09.036) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 2 Annual asymptomatic carotid revascularization procedures in California. CAS, Carotid artery stenting; CEA, carotid endarterectomy. Journal of Vascular Surgery 2013 57, 627-634DOI: (10.1016/j.jvs.2012.09.036) Copyright © 2013 Society for Vascular Surgery Terms and Conditions

Fig 3 Histogram of weighted average hospital-level probability of performing carotid artery stenting (CAS) vs carotid endarterectomy (CEA) across all propensity score-matched strata (“relative CAS utilization”). Journal of Vascular Surgery 2013 57, 627-634DOI: (10.1016/j.jvs.2012.09.036) Copyright © 2013 Society for Vascular Surgery Terms and Conditions