A Falling Trend in U.S. Coronary Revascularization Procedures

Findings from an analysis of two national Medicare databases

To determine recent trends in coronary revascularization among Medicare beneficiaries, researchers analyzed two national administrative databases. The data covered inpatient and outpatient percutaneous coronary interventions (PCIs) and coronary artery bypass grafting (CABG) procedures (N=2,768,007 patient records).

Between 2008 and 2012, the rate of revascularization procedures declined from 12.4/1000 to 10.3/1000 Medicare beneficiaries and fell ~4% per year in the last 2 years. CABG and valve surgery admissions remained constant or slightly increased. However, the fall in CABG rates was greater than the fall in PCI rates such that the PCI share of all revascularization procedures increased from ~75% to ~77%. The proportion of PCI recipients…

Reviewing Author

Howard C. Herrmann, MD

Disclosures

Consultant/Advisory BoardAffluent Medical; Artedrone; Caranx; Johnson & Johnson; Medtronic; Prolifagen; Wells Fargo

EquityMicrointerventional Devices, Inc.

RoyaltiesUniversity of Pennsylvania

Grant/Research SupportAbbott Vascular; Edwards Lifesciences; Johnson & Johnson; Medtronic

Editorial BoardsCatheterization and Cardiovascular Interventions; Journal of the American College of Cardiology; Circulation: Cardiovascular Interventions; JACC Cardiovascular Interventions; JACC Case Reports; JSCAI

Leadership Positions in Professional SocietiesHeart Valve Collaboratory (Scientific Committee Member, Chair of the Publications Committee)