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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...

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Related Experiment Video

Updated: Jun 4, 2026

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
13:48

Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound

Published on: April 21, 2023

Comparative effectiveness and efficiency in peripheral vascular surgery.

Donald E Fry1, Michael Pine, Barbara L Jones

  • 1Michael Pine and Associates, Chicago, IL 60615, USA. dfry@consultmpa.com

American Journal of Surgery
|March 4, 2011
PubMed
Summary
This summary is machine-generated.

Hospital inefficiency drives 90% of excess costs in elective vascular surgery. Reducing complications can further lower these costs, improving patient care and healthcare economics.

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Reduction of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease Combining Fiber Optic RealShape Technology and Intravascular Ultrasound
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Published on: May 26, 2023

Area of Science:

  • Vascular Surgery
  • Health Economics
  • Comparative Effectiveness

Background:

  • Elective peripheral vascular surgery offers significant patient benefits but is associated with complications, morbidity, and high costs.
  • Identifying factors contributing to these costs is crucial for healthcare improvement.

Purpose of the Study:

  • To analyze hospital-level comparative effectiveness and efficiency in elective peripheral vascular surgeries.
  • To identify outlier hospitals with excessive adverse outcomes and costs.

Main Methods:

  • Analysis of national inpatient data (2002-2005) for carotid endarterectomy, aortofemoral bypass/aortic aneurysm repairs, and femoral-distal bypass surgeries.
  • Development of models for adverse outcomes, mortality, and costs.
  • Definition of outlier hospitals based on adverse outcomes (P < .005) and excess cost (P < .0005).

Main Results:

  • Study included 43,700 carotid endarterectomy, 9,090 aortofemoral bypass/aneurysm repair, and 14,453 femoral-distal bypass patients.
  • Approximately 3% of hospitals were identified as quality outliers.
  • 8% to 24% of hospitals were efficiency outliers, varying by procedure.

Conclusions:

  • Hospital-level inefficiency accounts for 90% of excess costs in elective vascular surgery.
  • Reducing complication rates is key to further cost reduction and improving healthcare efficiency.