Recent Trends in Endovascular and Surgical Treatment of Peripheral Arterial Disease in the Medicare Population
David Guez, David R. Hansberry, Carin F. Gonsalves, David J. Eschelman, Laurence Parker, Vijay M. Rao, David C. Levin
Abstract
Surgical treatment of PAD has decreased each year from 2011 to 2016, whereas endovascular treatment has increased each year. By 2016, Medicare patients who needed revascularization for PAD were more than four times as likely to undergo endovascular as they were to undergo surgical treatment. Between 2011 and 2016, radiologists, vascular surgeons, and cardiologists all increased their endovascular volume, but by 2016, vascular surgeons and cardiologists performed three of every four endovascular procedures for the Medicare population. While only 12% of the total endovascular procedures for PAD were performed in 2016, radiology has grown its procedural volume each year from 2011 through 2016.