Prathima Nandivada, MD, Kiran H

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The impact of endovascular procedures on fellowship training in lower extremity revascularization Prathima Nandivada, MD, Kiran H. Lagisetty, MD, Kristina Giles, MD, Frank B. Pomposelli, MD, Elliot L. Chaikof, MD, Marc L. Schermerhorn, MD, Mark C. Wyers, MD, Allen D. Hamdan, MD Journal of Vascular Surgery Volume 55, Issue 6, Pages 1814-1820 (June 2012) DOI: 10.1016/j.jvs.2012.01.082 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Accreditation Council of Graduate Medical Education (ACGME) categories for reporting operative experience. Note that after 2007, endovascular therapeutic procedures are included within the peripheral obstructive category. *Notes new distinction of level of endovascular intervention in the post-2007 classification. LE, Lower extremity. Journal of Vascular Surgery 2012 55, 1814-1820DOI: (10.1016/j.jvs.2012.01.082) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Trend in the total number of procedures performed by vascular surgery fellows (VSFs) each year. Procedures include lower extremity (LE), abdominal, cerebrovascular, and all endovascular interventions. Journal of Vascular Surgery 2012 55, 1814-1820DOI: (10.1016/j.jvs.2012.01.082) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Trend in the average number of major procedure types per vascular surgery fellow (VSF) by year. Note that a significant drop in endovascular therapeutic procedures is seen at the 2007 mark, coinciding with the change in Accreditation Council of Graduate Medical Education (ACGME) procedure logging criteria. Journal of Vascular Surgery 2012 55, 1814-1820DOI: (10.1016/j.jvs.2012.01.082) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 Trend in average number of subtypes of open procedures performed per vascular surgery fellow (VSF) by year. A 234% increase in femoral endarterectomy is observed (P < .001). LE, Lower extremity. Journal of Vascular Surgery 2012 55, 1814-1820DOI: (10.1016/j.jvs.2012.01.082) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 Trend in the average number of vein and prosthetic bypasses performed per vascular surgery fellow (VSF) by year. A small increase of 28% is observed for prosthetic bypasses (P < .001) with no significant change in vein bypasses. LE, Lower extremity. Journal of Vascular Surgery 2012 55, 1814-1820DOI: (10.1016/j.jvs.2012.01.082) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 6 Comparison of the proportion of femoral-popliteal and tibioperoneal interventions performed by angioplasty or bypass after 2007, when Accreditation Council of Graduate Medical Education (ACGME) logging criteria began to include the vascular level of intervention. LE, Lower extremity. Journal of Vascular Surgery 2012 55, 1814-1820DOI: (10.1016/j.jvs.2012.01.082) Copyright © 2012 Society for Vascular Surgery Terms and Conditions