National trends in utilization, mortality, and survival after repair of type B aortic dissection in the Medicare population.

ABSTRACT:

Objective

The application of thoracic endovascular aortic repair (TEVAR) has changed treatment paradigms for thoracic aortic disease. We sought to better define specific treatment patterns and outcomes for type B aortic dissection treated with TEVAR or open surgical repair (OSR).

Methods

Medicare patients undergoing type B thoracic aortic dissection repair (2000-2010) were identified by use of a validated International Classification of Diseases, Ninth Revision diagnostic and procedural code-based algorithm. Trends in utilization were analyzed by procedure type (OSR vs TEVAR), and patterns in patient characteristics and outcomes were examined.

Results

Total thoracic aortic dissection repairs increased by 21% between 2000 and 2010 (2.5 to 3 per 100,000 Medicare patient

SUBMITTER: Jones DW 

PROVIDER: S-EPMC4287965 | biostudies-literature | 2014 Jul

REPOSITORIES: biostudies-literature