{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T08:40:14Z","timestamp":1741768814849,"version":"3.38.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T00:00:00Z","timestamp":1697673600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Backgrounds<\/jats:title><jats:p>Transcatheter edge\u2010to\u2010edge repair (TEER) devices are used for primary mitral regurgitation (MR) and secondary MR. Despite the growing use of TEER devices, there have not been many studies on operator experience or procedure volumes by state.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We aimed to investigate nationwide operator volume trends and geographic variation in access to TEER.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The United States Center for Medicare and Medicaid Services (CMS) National Medicare Provider Utilization and Payment Database (MPUPD) was analyzed between 2015 and 2020 for initial TEER procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Procedure volume and total operators increased yearly from 2015 to 2019 but declined in 2020. Mean annual procedure volume per operator varied significantly by state, between 0 in multiple states and 35 in North Dakota. In 2019, 994 unique operators were identified, with 295 operators documented performing 10 or more procedures (29.68%). Operators performing 10 or more TEER procedures provided 68.46% of all operations in 2019, averaging 20.94 procedures per operator.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>TEER procedures are becoming increasingly common as more operators are being trained. However, significant variability exists in the procedural volume per operator.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccd.30857","type":"journal-article","created":{"date-parts":[[2023,10,19]],"date-time":"2023-10-19T09:40:30Z","timestamp":1697708430000},"page":"147-152","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Geographic variability and operator trends of transcatheter edge\u2010to\u2010edge repair in the United States"],"prefix":"10.1002","volume":"103","author":[{"given":"Joseph","family":"Heaton","sequence":"first","affiliation":[{"name":"Department of Medicine Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4963-5931","authenticated-orcid":false,"given":"Steven","family":"Imburgio","sequence":"additional","affiliation":[{"name":"Department of Medicine Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sowmya","family":"Dandu","sequence":"additional","affiliation":[{"name":"Department of Medicine Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anmol","family":"Johal","sequence":"additional","affiliation":[{"name":"Department of Medicine Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ndausung","family":"Udongwo","sequence":"additional","affiliation":[{"name":"Department of Medicine Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anton","family":"Mararenko","sequence":"additional","affiliation":[{"name":"Department of Medicine Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arif","family":"Asif","sequence":"additional","affiliation":[{"name":"Department of Medicine Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesus","family":"Almendral","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8417-8302","authenticated-orcid":false,"given":"Brett","family":"Sealove","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Selan","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Kiss","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Saybolt","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Cardiology Jersey Shore University Medical Center Neptune City New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,19]]},"reference":[{"issue":"5","key":"e_1_2_8_2_1","first-page":"e72","article-title":"2020 ACC\/AHA guideline for the management of patients with valvular heart disease: a report of the American college of Cardiology\/American heart association joint committee on clinical practice guidelines","volume":"143","author":"Otto CM","year":"2021","journal-title":"Circulation"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2020.03.025"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1806640"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/24748706.2021.1883204"},{"key":"e_1_2_8_6_1","unstructured":"Centers for Medicare and Medicaid Services. NCD\u2014transcatheter mitral valve repair (TMVR) (20.33). Accessed March 2 2023.https:\/\/www.cms.gov\/medicare-coverage-database\/view\/ncd.aspx?NCDId=363&ncdver=1"},{"issue":"0","key":"e_1_2_8_7_1","article-title":"2023 ACC\/AHA\/SCAI advanced training statement on interventional cardiology (coronary, peripheral vascular, and structural heart interventions): a report of the ACC competency management committee","volume":"16","author":"Bass TA","year":"2023","journal-title":"Circ Cardiovasc Interv"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.09.014"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.30062"}],"container-title":["Catheterization and Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccd.30857","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T08:00:21Z","timestamp":1741766421000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccd.30857"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,19]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["10.1002\/ccd.30857"],"URL":"https:\/\/doi.org\/10.1002\/ccd.30857","archive":["Portico"],"relation":{},"ISSN":["1522-1946","1522-726X"],"issn-type":[{"type":"print","value":"1522-1946"},{"type":"electronic","value":"1522-726X"}],"subject":[],"published":{"date-parts":[[2023,10,19]]},"assertion":[{"value":"2023-06-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-10-19","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}