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Volume-outcome relationship for peripheral endovascular interventions: a review of existing literature

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References

•• This study showed comparable results for endovascular management of peripheral arterial disease and surgical bypass in patients with critical limb ischemia.

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•• IVUS utilization was associated with significantly lower rates of amputation as well as post-procedural complications.

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•• In an analysis of 13,564 (weighted n=67,344) carotid artery stenting procedures, annual operator volume was associated with significantly lower rate of mortality and complications. Furthermore, a higher annual operator volume was associated with shorter length of hospital stay and lower hospitalization costs.

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•• An increasing hospital volume quartile was independently predictive of lower in-hospital mortality, composite end-point of mortality and post-procedural complications in this study that included 92,710 lower extremity endovascular (both angioplasty and stenting) interventions from the Nationwide Inpatient Sample.

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•• Pioneering study by Luft et al. found significantly lower mortality rates associated with greater hospital volumes and supported the value of regionalization for certain operations.

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•• This study using administrative data on fee-for-service Medicare beneficiaries found lower annual operator volume and early experience weres associated with increased 30-day mortality among older patients undergoing carotid stenting.

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