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Trends, complications, and mortality in peripheral vascular surgery

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Presentation on theme: "Trends, complications, and mortality in peripheral vascular surgery"— Presentation transcript:

1 Trends, complications, and mortality in peripheral vascular surgery
Roman Nowygrod, MD, Natalia Egorova, PhD, Giampaolo Greco, PhD, Patrice Anderson, MD, Annetine Gelijns, PhD, Alan Moskowitz, MD, James McKinsey, MD, Nicholas Morrissey, MD, K. Craig Kent, MD  Journal of Vascular Surgery  Volume 43, Issue 2, Pages (February 2006) DOI: /j.jvs Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 National change in the total number of carotid procedures (based on the National Hospital Discharge Survey). endo, Endovascular. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Per capita use (A and C) and mortality (B and D) of open and endovascular carotid procedures. Regionally, the number of cases from 1998 to 2003 was 36,087, 35,020, 34,053, 32,966, 31,622, and 30,324 for open procedures and 773, 1124, 1316, 1496, 1653, and 1959 for endovascular procedures, respectively. Nationally (based on the Nationwide Inpatient Sample), the number of cases from 1998 to 2003 was 143,643, 136,287, 137,752, 141,483, 138,731, and 131,565 for open procedures and 3233, 4396, 4410, 6567, 6518, and 7518 for endovascular procedures, respectively. *P < .05, open cf endovascular procedures for each year. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Per capita use (A and C) and mortality (B and D) of open and endovascular abdominal aortic aneurysm (AAA) procedures. Regionally, the number of cases from 1998 to 2003 was 8582, 8589, 8424, 6236, 5166, and 4512 for open procedures and for years from 2000 to 2003 was 532, 2857, 3488, and 3917 for endovascular procedures. Nationally (based on the Nationwide Inpatient Sample), the number of cases from 1998 to 2003 was 34,190, 34,983, 36,172, 26,886, 22,728, and 21,515 for open procedures and for years from 2000 to 2003 was 2287, 13,248, 13,069, and 16,211 for endovascular procedures. *P < .05, open cf endovascular procedures for each year. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 National change in the total number of lower extremity revascularization procedures (based on the National Hospital Discharge Survey). endo, Endovascular. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Per capita use (A and C) and mortality (B and D) of open, endovascular (endo), and combined lower extremity revascularization (LER) procedures. Regionally, the number of cases from 1998 to 2003 was 26,580, 25,852, 24,760, 23,685, 21,625, and 20,313 for open procedures; 7155, 7299, 7857, 8194, 8429, and 10,038 for endovascular procedures; and 2768, 2817, 2701, 2602, 2640, and 2646 for combined procedures, respectively. Nationally (based on the Nationwide Inpatient Sample), the number of cases from 1998 to 2003 was 104,457, 102,457, 97,387, 97,247, 90,301, and 81,729 for open procedures; 28,806, 30,947, 31,242, 40,068, 37,882, and 44,069 for endovascular procedures; and 11,166, 11,319, 10,771, 11,029, 10,515, and 11,221 for combined procedures, respectively. *P < .05, open cf endovascular procedures for each year. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 Per capita use (A and C) and mortality (B and D) of major and all amputation procedures. Regionally, the number of cases from 1998 to 2003 was 15,243, 14,378, 14,211, 14,021, 13,302, and 12,860 for major and 30,519, 29,243, 29,566, 29,645, 28,686, and 28,757 for all amputations, respectively. Nationally (based on the Nationwide Inpatient Sample), the number of cases from 1998 to 2003 was 65,560, 62,875, 63,242, 61,457, 58,952, and 55,574 for major and 123,983, 120,942, 123,004, 121,505, 119,782, and 111,143 for all amputations, respectively. *P value for trend of all amputation procedures. **P value for mortality trend of major amputation procedures. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2006 The Society for Vascular Surgery Terms and Conditions


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