The Impact of Physician Specialization on Clinical and Hospital Outcomes in Patients Undergoing EVAR and TEVAR

Dua, Anahita; Andre, Jason; Nolte, Nicholas; Pan, James; Hood, Douglas; Hodgson, Kim J.; Desai, Sapan S.

doi:10.1016/j.avsg.2016.01.025

Cited by 10 publications

(2 citation statements)

References 14 publications

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“…21 Although the present analysis has no comparative information about costs of open repair, it provides a contemporary evaluation of resource use for elective and nonelective TEVAR comparable with other national studies with specific focus on patients with chronic kidney disease. 22 The increased costs and LOS in patients with ESRD were likely attributable to more complex anatomy, inpatient dialysis sessions, and additional endografts, which cannot be accounted for in the present database. Taken together, our results demonstrate costs are substantial for patients with ESRD.…”

Section: Commentmentioning

confidence: 89%

National Study of Index and Readmission Mortality and Costs for Thoracic Endovascular Aortic Repair in Patients With Renal Disease

Sanaiha

Kavianpour

Downey

et al. 2020

The Annals of Thoracic Surgery

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Background. In the current era of value-based health care delivery, an understanding of patient populations at greatest risk for mortality, complications, and readmissions after thoracic endovascular aortic repair (TEVAR) is warranted. Thus, the present study aimed to evaluate outcomes after TEVAR for patients with varying degrees of renal dysfunction.Methods. All patients who underwent TEVAR from 2010 to 2015 in the Nationwide Readmissions Database were identified. These patients were further stratified into four groups: no chronic kidney disease (NCKD), chronic kidney disease (CKD) stages 1 to 3 (CKD1-3), CKD 4 to 5 (CKD4-5), and end-stage renal disease (ESRD) requiring dialysis. Multivariable regression analysis was used to study index mortality, early (30 days) and intermediate (31-90 days) readmissions, costs, and length of stay. Kaplan-Meier analyses were performed to compare readmission performance among all four groups.Results. An estimated 121,046 patients underwent TEVAR with 26,653 (22.1%) being elective. Patients with

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Section: Commentmentioning

confidence: 89%

National Study of Index and Readmission Mortality and Costs for Thoracic Endovascular Aortic Repair in Patients With Renal Disease

Sanaiha

Kavianpour

Downey

et al. 2020

The Annals of Thoracic Surgery

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“…Endovascular treatments of abdominal and thoracic descending aorta are already well-established and have a lower surgical risk when compared to conventional techniques [ 2 ] . Improvement of both, techniques and endoprosthesis, made endovascular management of more complex aortic diseases, like those affecting distal arch and proximal descending aortic segments also possible, reducing treatment morbimortality of the procedure [ 3 ] .…”

Section: Introductionmentioning

confidence: 99%

Hybrid Approach of Aortic Diseases: Zone 1 Delivery and Volumetric Analysis on the Descending Aorta

Duncan¹,

Dias²,

Dinato³

et al. 2017

Braz J Cardiovasc Surg

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IntroductionConventional techniques of surgical correction of arch and descending aortic diseases remains as high-risk procedures. Endovascular treatments of abdominal and descending thoracic aorta have lower surgical risk. Evolution of both techniques - open debranching of the arch and endovascular approach of the descending aorta - may extend a less invasive endovascular treatment for a more extensive disease with necessity of proximal landing zone in the arch.ObjectiveTo evaluate descending thoracic aortic remodeling by means of volumetric analysis after hybrid approach of aortic arch debranching and stenting the descending aorta.MethodsRetrospective review of seven consecutive patients treated between September 2014 and August 2016 for diseases of proximal descending aorta (aneurysms and dissections) by hybrid approach to deliver the endograft at zone 1. Computed tomography angiography were analyzed using a specific software to calculate descending thoracic aorta volumes pre- and postoperatively.ResultsFollow-up was done in 100% of patients with a median time of 321 days (range, 41-625 days). No deaths or permanent neurological complications were observed. There were no endoleaks or stent migrations. Freedom from reintervention was 100% at 300 days and 66% at 600 days. Median volume reduction was of 45.5 cm3, representing a median volume shrinkage by 9.3%.ConclusionHybrid approach of arch and descending thoracic aorta diseases is feasible and leads to a favorable aortic remodeling with significant volume reduction.

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Assoziation zwischen Operationsvolumen und postoperativer Mortalität bei der elektiven endovaskulären Versorgung infrarenaler abdomineller Aortenaneurysmen: systematische Übersichtsarbeit – Fortsetzung

et al. 2020

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The Impact of Physician Specialization on Clinical and Hospital Outcomes in Patients Undergoing EVAR and TEVAR

Cited by 10 publications

References 14 publications

National Study of Index and Readmission Mortality and Costs for Thoracic Endovascular Aortic Repair in Patients With Renal Disease

National Study of Index and Readmission Mortality and Costs for Thoracic Endovascular Aortic Repair in Patients With Renal Disease

Hybrid Approach of Aortic Diseases: Zone 1 Delivery and Volumetric Analysis on the Descending Aorta

Assoziation zwischen Operationsvolumen und postoperativer Mortalität bei der elektiven endovaskulären Versorgung infrarenaler abdomineller Aortenaneurysmen: systematische Übersichtsarbeit – Fortsetzung

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