Journal of the American College of Radiology
Volume 6, Issue 7 , Pages 506-509 , July 2009

Endovascular Repair vs Open Surgical Repair of Abdominal Aortic Aneurysms: Comparative Utilization Trends From 2001 to 2006

  • David C. Levin, MD

      Affiliations

    • Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania
    • HealthHelp, Inc, Houston, Texas
    • Corresponding Author InformationCorresponding author and reprints: David C. Levin, MD, Thomas Jefferson University Hospital, Department of Radiology, Main 1090, Philadelphia, PA 19107
  • ,
  • Vijay M. Rao, MD

      Affiliations

    • Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania
  • ,
  • Laurence Parker, PhD

      Affiliations

    • Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania
  • ,
  • Andrea J. Frangos, MS

      Affiliations

    • Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania
  • ,
  • Jonathan H. Sunshine, PhD

      Affiliations

    • American College of Radiology, Reston, Virginia

References 

  1. Lederle FA, Wilson SE, Johnson GR, et al. Immediate repair compared with surveillance of small abdominal aortic aneurysms. N Engl J Med. 2002;346:1437–1444
  2. Powell JT, Greenhalgh RM. Small abdominal aortic aneurysms. N Engl J Med. 2003;348:1895–1901
  3. Greenhalgh RM, Powell JT. Endovascular repair of abdominal aortic aneurysm. N Engl J Med. 2008;358:495–501
  4. Parodi JC, Palmaz JC, Barone HD. Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg. 1991;5:491–499
  5. Greenhalgh RM, Brown LC, Kwong GP, Powell JT, Thompson SG. Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR Trial 1), 30-day operative mortality results: randomized controlled trial. Lancet. 2004;364:843–848
  6. Prinssen M, Verhoeven EL, Buth J, et al. A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms. N Engl J Med. 2004;351:1607–1618
  7. Schermerhorn ML, O'Malley AJ, Jhaveri A, Cotterill P, Pomposelli F, Landon BE. Endovascular vs. open repair of abdominal aortic aneurysms in the Medicare population. N Engl J Med. 2008;358:464–474
  8. Levin DC, Rao VM, Parker L, Frangos AJ, Sunshine JH. The effect of the introduction of MR and CT angiography on the utilization of catheter angiography for peripheral arterial disease. J Am Coll Radiol. 2007;4:457–460
  9. Levin DC, Rao VM, Parker L, Frangos AJ, Sunshine JH. Ownership or leasing of CT scanners by nonradiologist physicians: a rapidly growing trend that raises concern about self-referral. J Am Coll Radiol. 2008;5:1206–1209
  10. Levin DC, Rao VM, Parker L, Frangos AJ, Sunshine JH. Ownership or leasing of MRI facilities by nonradiologist physicians is a rapidly growing trend. J Am Coll Radiol. 2008;5:105–109
  11. Levin DC, Intenzo CM, Rao VM, Parker L, Frangos JH, Sunshine JH. Comparison of recent utilization trends in radionuclide myocardial perfusion imaging among radiologists and cardiologists. J Am Coll Radiol. 2005;2:821–824
  12. Mitchell JM. Utilization trends for advanced imaging procedures (Evidence from individuals with private insurance coverage in California). Med Care. 2008;46:460–466

 This study was supported in part by a grant from the American College of Radiology (Reston, Va).

PII: S1546-1440(09)00072-6

doi: 10.1016/j.jacr.2009.02.003

Journal of the American College of Radiology
Volume 6, Issue 7 , Pages 506-509 , July 2009