{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:31:26Z","timestamp":1789731086769,"version":"4.0.1"},"reference-count":14,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":366,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvascsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vascular Surgery"],"published-print":{"date-parts":[[2024,1]]},"DOI":"10.1016\/j.jvs.2023.09.017","type":"journal-article","created":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T21:04:44Z","timestamp":1695157484000},"page":"3-10","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Current Medicare reimbursement for complex endovascular aortic repair is inadequate based on results from a multi-institutional cost analysis"],"prefix":"10.1016","volume":"79","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4469-2558","authenticated-orcid":false,"given":"Clayton J.","family":"Brinster","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel R.","family":"Money","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9365-3594","authenticated-orcid":false,"given":"Aaron","family":"Hayson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Ren\u00e9","family":"Gurdian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8459-5424","authenticated-orcid":false,"given":"Ross","family":"Milner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla","family":"Polcari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Asirwatham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1078-2707","authenticated-orcid":false,"given":"Dean J.","family":"Arnaoutakis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chong","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Maldonado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dillon","family":"Cheung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Meltzer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvs.2023.09.017_bib1","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1067\/mva.2003.118","article-title":"Current hospital costs and Medicare reimbursement for endovascular abdominal aortic aneurysm repair","volume":"37","author":"Bertges","year":"2003","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib2","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/S0741-5214(00)90154-X","article-title":"Hospital cost of endovascular versus open repair of abdominal aortic aneurysms: a multicenter study","volume":"31","author":"Sternbergh","year":"2000","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib3","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1016\/j.jvs.2013.08.047","article-title":"The financial implications of endovascular aneurysm repair in the cost containment era","volume":"59","author":"Stone","year":"2014","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib5","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1067\/mva.2000.105663","article-title":"An evaluation of the costs to health care institutions of endovascular aortic aneurysm repair","volume":"32","author":"Clair","year":"2000","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib6","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/S0140-6736(04)16979-1","article-title":"Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial","volume":"364","author":"Greenhalgh","year":"2004","journal-title":"Lancet"},{"key":"10.1016\/j.jvs.2023.09.017_bib7","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1016\/j.jvs.2017.08.030","article-title":"Inpatient coding and the diagnosis-related group","volume":"66","author":"Aiello","year":"2017","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib8","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.1016\/j.jvs.2017.02.039","article-title":"Variation in hospital costs and reimbursement for endovascular aneurysm repair: a Vascular Quality Initiative pilot project","volume":"66","author":"Lemmon","year":"2017","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib9","doi-asserted-by":"crossref","first-page":"1457","DOI":"10.1016\/j.jvs.2015.07.040","article-title":"The in-hospital costs of treating high-risk patients with fenestrated and branched endografts","volume":"62","author":"Osman","year":"2015","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib10","first-page":"18","article-title":"Cost-effectiveness analysis of chimney\/snorkel versus fenestrated endovascular repair for high-risk patients with complex abdominal aortic pathologies","volume":"61","author":"Taneva","year":"2020","journal-title":"J\u00a0Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib11","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1016\/j.jvs.2017.01.042","article-title":"Surgeon leadership in the coding, billing, and contractual negotiations for fenestrated endovascular aortic aneurysm repair increases medical center contribution margin and physician reimbursement","volume":"66","author":"Aiello","year":"2017","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib12","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.jvs.2020.05.034","article-title":"Financial viability of endovascular aortic repair in the modern era","volume":"73","author":"Brinster","year":"2021","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib13","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1016\/S1076-6332(03)80689-X","article-title":"Inpatient costs of routine endovascular repair of abdominal aortic aneurysm","volume":"8","author":"Lester","year":"2001","journal-title":"Acad Radiol"},{"key":"10.1016\/j.jvs.2023.09.017_bib14","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1016\/j.jvs.2018.04.043","article-title":"Episode-based cost reduction for endovascular aneurysm repair","volume":"69","author":"Itoga","year":"2019","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2023.09.017_bib15","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1016\/j.jvs.2019.05.045","article-title":"Fenestrated endovascular aneurysm repair is financially viable at a high-volume medical center with positive hospital contribution margins and physician payment","volume":"71","author":"Chow","year":"2020","journal-title":"J\u00a0Vasc Surg"}],"container-title":["Journal of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521423019857?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521423019857?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:42:04Z","timestamp":1760042524000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0741521423019857"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1]]}},"alternative-id":["S0741521423019857"],"URL":"https:\/\/doi.org\/10.1016\/j.jvs.2023.09.017","relation":{},"ISSN":["0741-5214"],"issn-type":[{"value":"0741-5214","type":"print"}],"subject":[],"published":{"date-parts":[[2024,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Current Medicare reimbursement for complex endovascular aortic repair is inadequate based on results from a multi-institutional cost analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvs.2023.09.017","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 by the Society for Vascular Surgery. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}